title: Getting stung by black scorpion Androctonus crassicauda: a case report.
abstract: Importance of the correct diagnosis in the correct early management of a scorpion stung patient by using antivenom is not emphasized, particularly when there are little evidences. A 65-year-old female was brought to our emergency department with the chief compliant of being stung by an unknown object 3 h earlier while traveling in an intercity bus. She became agitated and simultaneously experienced tachycardia, very severe generalized sweating, cold and wet extremities, bilateral diffuse crackle in the base of lungs, tachypnea, and lethargy. With the primitive diagnosis of myocardial infarction, scorpion sting was documented as the cause of this combined cholinergic and adrenergic syndrome after the scorpion was found in the patient's bed clothes. She dramatically responded to the administration of low dose of scorpion antivenom. This case dramatically responded to the antivenom administration, especially the cholinergic and sympathetic signs, pulmonary edema, and electrocardiographic changes were fully and almost immediately recovered. Scorpion antivenom may reverse life-threatening manifestations of scorpion envenomation if used early and in appropriate patients.
authors.affiliation: Toxicological Research Center, Loghman Hakim Hospital, Department of Clinical Toxicology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
authors.forename: A
authors.initials: A
authors.lastname: Aghabiklooei
authors.affiliation: Toxicological Research Center, Loghman Hakim Hospital, Department of Clinical Toxicology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
authors.forename: N
authors.initials: N
authors.lastname: Zamani
authors.affiliation: Toxicological Research Center, Loghman Hakim Hospital, Department of Clinical Toxicology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran hassanian@sbmu.ac.ir.
authors.forename: H
authors.initials: H
authors.lastname: Hassanian-Moghaddam
mesh_terms: D000368:Aged; D000997:Antivenins / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis; D011237:Predictive Value of Tests; D065008:Scorpion Stings / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D012604:Scorpion Venoms; D016896:Treatment Outcome
chemical_list: D000997:Antivenins; D012604:Scorpion Venoms
keywords: Androctonus crassicauda; Scorpion venoms; adrenergic agents; antivenins; antivenom; cholinergic agents