title: Infective endocarditis and septic pulmonary embolism following scorpion sting envenoming in an 11-year-old child.
abstract: Scorpion sting is one of the common paediatric toxicological problems encountered in southern India. This rural emergency often results in an autonomic storm causing peripheral circulatory failure and/or congestive cardiac failure, leading to pulmonary oedema. A rare case of scorpion sting envenoming in an 11-year-old boy that led to local cellulitis, dyspnoea and congestive heart failure is presented. This was followed by a persistent high-grade fever which lasted for more than 2 weeks and was complicated by fatal Staphylococcus aureus infective endocarditis and septic pulmonary embolism. Although infective endocarditis has been reported occasionally in adults following scorpion sting, this is the first case of infective endocarditis in a native valve in a child following scorpion sting. The literature is reviewed and the mechanisms for this association are discussed.
authors.forename: Vellasamy
authors.initials: V
authors.lastname: Prakash
authors.forename: Sriram
authors.initials: S
authors.lastname: Krishnamurthy
authors.forename: Subramanian
authors.initials: S
authors.lastname: Mahadevan
authors.forename: Adhisivam
authors.initials: A
authors.lastname: Bethou
authors.forename: S
authors.initials: S
authors.lastname: Deepak Barathi
mesh_terms: D002648:Child; D004696:Endocarditis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D007194:India; D008297:Male; D011014:Pneumonia / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D065008:Scorpion Stings / Q000150:complications*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000473:pathology; D013211:Staphylococcus aureus / Q000302:isolation & purification
keywords: Infective endocarditis,; Scorpion sting,; Septic pulmonary embolism