Clinical Profile and Outcome of Children admitted with Scorpion Sting in Tertiary care hospital

BABU A.S.K.K.; BASKAR C; HEBER ANANDAN

Volume : VI, Issue : X, October - 2016

Clinical Profile and Outcome of Children admitted with Scorpion Sting in Tertiary care hospital

Babu A. S. K. K. , Baskar C, Heber Anandan

Abstract :

Aim: To study the clinical profile and outcome of scorpion sting envenomization Methods: Prospective Observational Study in children from age group of 1 month to 12 years with a history of scorpion sting. Symptoms and clinical signs including complications like peripheral circulatory failure, Hypertension, Pulmonary edema, Myocarditis and Neurological complications like stroke syndrome by clinical examination and investigations like ECG, X–ray chest, Echo and CT ain in selective cases were examined. Results: 46% of children were in the age group of 5 to 10 years and more number of cases were noted in the summer months (26.6%) and post monsoon (26.6%). More number of cases in noncentering houses (63.3%). The pain at the site of sting (86.6%) was the commonest compliant and cold Peripheries (75%) were the most common sign. Peripheral circulatory failure (25%) was the most complication. The majority of complication occurred in 1 to 5 years. Hypertension was noted as earlier complication and myocarditis, peripheral circulatory failures were observed after 24 hrs of sting. Thrombosis (1.66%) was observed in one case. Conclusions: Early intervention with oral prazosin and appropriate use of dobutamine with avoidance of atropine, excessive diuretics, steroids and antihistaminic might help to hasten the recovery in severe scorpion sting victim. The presence of metabolic acidosis, myocarditis, encephalopathy and acute pulmonary edema are the important determinants of the mortality and morbidity in children