Clinical course of bark scorpion envenomation managed without antivenom.

Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology
Ayrn O'Connor, Anne-Michelle Ruha

Abstract

Bark scorpion envenomation is potentially life threatening in children and traditionally treated with antivenom (AV). We sought to describe the clinical course, management, complications and outcome of children with severe scorpion envenomation treated with supportive care during a period when AV was unavailable. A retrospective chart review was performed, all children presenting to a referral hospital between September 1, 2004 and July 31, 2006 with severe scorpion envenomation not receiving AV, were included. A standardized data abstraction form was used to record time of symptom onset, time to healthcare facility (HCF), clinical findings, treatment, complications, and length of stay. Eighty-eight patients were included with mean age of 3.7 years (0.33-12). Mean time to symptom onset was 20 min (0-130) and mean time to HCF was 79 min (10-240). Incidence of clinical manifestations include: neuromuscular agitation, 100 %; opsoclonus, 97 %; hypersalivation, 81 %; tachycardia, 82 %; hypertension, 49 %; vomiting, 38 %; fever, 28 %; respiratory distress, 33 %; and hypoxia, 18 %. Complications included rhabdomyolysis in 18 (20 %) and aspiration in 12 (13 %) patients. Intubation was required in 24 % of patients. The most frequently u...Continue Reading

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Citations

Aug 7, 2013·Toxicon : Official Journal of the International Society on Toxinology·Leslie BoyerAlejandro Alagón
Sep 24, 2013·Toxicon : Official Journal of the International Society on Toxinology·Edward P ArmstrongLeslie V Boyer
Aug 5, 2016·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Vasanth CoorgAnne-Michelle Ruha
Sep 6, 2017·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Nicholas B HurstF Mazda Shirazi
Feb 8, 2019·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Dan QuanMadhumita Sinha
Dec 7, 2016·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·A Min Kang, Daniel E Brooks

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