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Scorpion envenomation in children and its management
RV Bharath1, M Rajesh Kumar2, BV Subrahmanyam3, P Rammohan4, Amit Agrawal5
1 Department of Pediatrics, Narayana Medical College Hospital, ChinthareddyPalem, Nellore, Andhra Pradesh, India
2 Department of Medicine, Narayana Medical College Hospital, ChinthareddyPalem, Nellore, Andhra Pradesh, India
3 Department of Forensic Medicine, Narayana Medical College Hospital, ChinthareddyPalem, Nellore, Andhra Pradesh, India
4 Department of Pharmacology, Narayana Medical College Hospital, ChinthareddyPalem, Nellore, Andhra Pradesh, India
5 Department of Neurosurgery, Narayana Medical College Hospital, ChinthareddyPalem, Nellore, Andhra Pradesh, India
Correspondence Address:
M Rajesh Kumar
Department of Medicine, Narayna Medical College Hospital, Chinthareddypalem, Nellore - 524 003, Andhra Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2321-4848.144300
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Introduction: The present study was aimed to describe our experience with epidemiological characteristics, management options, and outcome of scorpion envenomation in children. Materials and Methods: The present retrospective study was conducted at Narayana Medical College and Hospital. The epidemiologic details including geographical locality of the event, age distribution, gender, and sting sites were noted in all hospitalized children with scorpion bite injury. Results: During the study period, a total 52 children were managed for scorpion sting. Mean age was 8.87 years. Male children were commoner victims of scorpion sting. Scorpion sting had bimodal pattern. Prazocin was used in 25 children. There was evidence of pulmonary edema in 23 cases. Seven patients required elective ventilation, and 5 of them could be weaned off within 72 hours. Mean hospital stay was 3.69 days. Two children expired in the present series. Conclusion: In present study, there was bimodal distribution of the scorpion sting cases, male children were more affected, and almost all of them improved with good outcome. We did not use anti-venin in the present study. The data from the study will serve not only to create heightened public awareness about scorpion envenomation but also to develop public awareness strategies and preventive measures. |
