A study on the clinical profile of scorpion envenomation in children

Abstract

Background: Scorpion envenomation is a common emergency in children. The main objective is to study the clinical profile of scorpion envenomation in children. Methods: Retrospective analysis of all the scorpion sting case records for one year. Case records were analyzed for history, clinical features, investigations, treatment modalities and outcome. Results: During the study period, 66 cases were admitted and treated with the following results. 33% was Class I, 52% was Class II and 15% was of Class III severity. There was no mortality. The common clinical symptoms noted were: Pain at sting site, diaphoresis and restlessness. The common clinical signs were: Cold extremities, Tachycardia and hypotension. In this study we noted a male preponderance. 76% of cases received first dose of prazosin within 8 hours. The common complications were Peripheral circulatory failure, myocarditis and congestive cardiac failure. Outcome was directly proportional to sting- prazosin interval. Conclusions: The morbidity and mortality of scorpion envenomation is directly related to the sting-Prazosin interval. Education of Health care workers in all Primary health centers and Government hospitals about scorpion sting and its need for early treatment with prazosin will reduce morbidity and mortality due to scorpion sting. A concept similar to that of “Golden Hour” in trauma care should be proposed for the care of children with scorpion envenomation. Further, antiscorpion venom should be made available widely to prevent complications and mortality.