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Chapter-54 Scorpion Sting Poisoning

BOOK TITLE: IAP Textbook of Pediatric ICU Protocols

Author
1. Khilnani Praveen
2. Mohite Mahesh A
3. Khadse Suchita
ISBN
9789350903704
DOI
10.5005/jp/books/11878_54
Edition
2/e
Publishing Year
2013
Pages
4
Author Affiliations
1. Max Hospitals, Press Enclave, Saket, New Delhi, India, Rainbow Children’s Hospital, New Delhi, India, Madhukar Rainbow Children’s Hospital, New Delhi, India, Pediatric Intensivist, IP Apollo Hospital, New Delhi B-42, Panchsheel Enclave, New Delhi 110017, BLK Superspeciality Hospital, New Delhi, India; PICU Mediclinic City Hospital, Dubai, UAE, for IAP and ISCCM; BLK Super Speciality Hospital, New Delhi, India, BLK Super Speciality Hospital, New Delhi, India, Max and BLK Hospitals, New Delhi, India, BLK Superspeciality Hospital, New Delhi, BLK Superspeciality Hospital, New Delhi, India, Max Hospital, New Delhi, MAX Superspeciality Hospital, New Delhi, Apollo Centre for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi, e-mail: praveenk@nde.vsnl.net.in, Apollo Hospital, New Delhi, Max Hospitals, New Delhi, India, Pediatric Pulmonology and Critical Care, Max Healthcare Hospitals, Saket, New Delhi and Gurgaon (Haryana)
2. Sai Children’s Hospital, New Panvel, Maharashtra, Sai Child Care Clinic, Navi Mumbai, Maharashtra, Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, India, Sai Child Care Hospital, Navi Mumbai; Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, India
3. Central India’s Child Hospital and Research Institute, Nagpur, Maharashtra, India, Child Hospital, Nagpur, Maharashtra, India, Nelson Children's Hospital, Nagpur, Maharashtra, India
Chapter keywords
Scorpion, Diabetic ketoacidosis, Hyperperistalsis, Autonomic storm, Red scorpion, Scorpion Sting Poisoning

Abstract

The scorpion is of two poisonous species like the Mesobuthus tamulus or Indian red scorpion and Palamneus gravimanus or ingli. The red scorpion can be fatal if emergency treatment is not given. The poisonous scorpion has its effect on cardiovascular system, some effect on glucose metabolism, and occasionally on nervous system. The scorpion venom after sting causes autonomic storm. Initially parasympathetic system is stimulated leading to excess sweating, cold extremity, salivation, vomiting and defecation due to hyperperistalsis and priapism in male child. There is bradycardia at this stage and child may be irritable and anxious. The metabolic derangements mainly lead to insulin suppression and diabetic ketoacidosis like state. The chapter also discusses in detail about the investigations, treatments, pharmacotherapy, and doses of medications required for scorpion sting poisoning.

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