title: Methamphetamine Ingestion Misdiagnosed as Centruroides sculpturatus Envenomation.
abstract: The authors present a case report of a 17-month-old female child who ingested a large amount of methamphetamine that looked very similar clinically to a scorpion envenomation specific to the southwestern United States by the species Centruroides sculpturatus. The child was initially treated with 3 vials of antivenom specific for that scorpion species and showed a transient, though clinically relevant neurologic improvement. Her clinical course of sympathomimetic toxicity resumed and she was treated with intravenous fluids and benzodiazepines after blood analysis showed significant levels of d-methamphetamine. This case report is to specifically underline the clinical confusion in discerning between these two conditions and the realization of limited and/or expensive resources that may be used in the process.
authors: Department of Emergency Medicine, Carl R Darnall Army Medical Center, 36000 Darnall Loop, Fort Hood, TX 76554, USA.
authors: Joshua
authors: J
authors: Strommen
authors: Arizona Poison & Drug Information Center (APDIC), University of Arizona College of Pharmacy, Tucson, AZ 85721, USA ; Arizona Emergency Medicine Research Center, University of Arizona College of Medicine, Tucson, AZ 85721, USA.
authors: Farshad
authors: F
authors: Shirazi
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