Indian red scorpion envenoming

Indian J Pediatr. 1998 May-Jun;65(3):383-91. doi: 10.1007/BF02761131.

Abstract

The clinical course and treatment outcome of scorpion envenoming in 293 children was studied in a hospital at Mahad in Raigad district of Maharastra. 111 (38%) children who reported 1-10 hours (mean 3.5 hours) after sting had hypertension, 87 (29.6%) with tachycardia reported within 1-24 hours (mean 6.7 hours) of being envenomed and 72 (24.5%) children developed acute pulmonary edema after 6-24 hours (mean 8 hours) of sting. Six victims were brought dead, while 17 (6%) died later owing to multiorgan failure with loss of consciousness and convulsions (who reported after 24 hours of sting). Early administration of prazosin (125-250 ug orally) improved the clinical symptoms. Morbidity and mortality due to scorpion envenoming depends upon time lapse between sting and administration of post synaptic alpha-1 blocker, prazosin hydrochloride.

MeSH terms

  • Adolescent
  • Adrenergic alpha-Antagonists / therapeutic use
  • Animals
  • Cause of Death
  • Child
  • Child, Preschool
  • Humans
  • India / epidemiology
  • Infant
  • Prazosin / therapeutic use
  • Scorpion Stings / diagnosis
  • Scorpion Stings / drug therapy*
  • Scorpion Stings / mortality
  • Scorpions*
  • Survival Rate

Substances

  • Adrenergic alpha-Antagonists
  • Prazosin