Scorpion sting: Myriad presentation in PICU

Scorpion sting is a major health problem in tropical and subtropical countries.[1] A total of 113 species are available in India[2]; of these Mesobuthus tumulus or Indian Red Scorpion is the most lethal.[1] Like many other neglected tropical diseases, due to gross under-reporting, reliable statistic...

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Main Authors: Lokesh Tiwari, Manish Kumar, Manikant Srivastava
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Pediatric Critical Care
Subjects:
Online Access:http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2019;volume=6;issue=3;spage=40;epage=44;aulast=Tiwari
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author Lokesh Tiwari
Manish Kumar
Manikant Srivastava
author_facet Lokesh Tiwari
Manish Kumar
Manikant Srivastava
author_sort Lokesh Tiwari
collection DOAJ
description Scorpion sting is a major health problem in tropical and subtropical countries.[1] A total of 113 species are available in India[2]; of these Mesobuthus tumulus or Indian Red Scorpion is the most lethal.[1] Like many other neglected tropical diseases, due to gross under-reporting, reliable statistics of scorpion envenomation are not available. Even more concerning is the lack of awareness amongst pediatricians regarding the spectrum of manifestations of scorpion envenomation in children and its management in both primary and advanced care settings. We are reporting a series of 3 cases exemplifying the myriad manifestations of scorpion envenomation along with emphasizing the role of prazosin and supportive intensive care monitoring and management. This article also focusses on role of treatment options such as amiodarone and glucose-insulin infusion in management of scorpion envenomation induced myocardial dysfunction, refractory to first line inotropes.
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spelling doaj.art-13b831096a0f4a0faf6bb461d2755c5e2022-12-22T02:26:52ZengWolters Kluwer Medknow PublicationsJournal of Pediatric Critical Care2349-65922455-70992019-01-0163404410.21304/2019.0603.00502Scorpion sting: Myriad presentation in PICULokesh TiwariManish KumarManikant SrivastavaScorpion sting is a major health problem in tropical and subtropical countries.[1] A total of 113 species are available in India[2]; of these Mesobuthus tumulus or Indian Red Scorpion is the most lethal.[1] Like many other neglected tropical diseases, due to gross under-reporting, reliable statistics of scorpion envenomation are not available. Even more concerning is the lack of awareness amongst pediatricians regarding the spectrum of manifestations of scorpion envenomation in children and its management in both primary and advanced care settings. We are reporting a series of 3 cases exemplifying the myriad manifestations of scorpion envenomation along with emphasizing the role of prazosin and supportive intensive care monitoring and management. This article also focusses on role of treatment options such as amiodarone and glucose-insulin infusion in management of scorpion envenomation induced myocardial dysfunction, refractory to first line inotropes.http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2019;volume=6;issue=3;spage=40;epage=44;aulast=Tiwariscorpion stingpicuprazocin
spellingShingle Lokesh Tiwari
Manish Kumar
Manikant Srivastava
Scorpion sting: Myriad presentation in PICU
Journal of Pediatric Critical Care
scorpion sting
picu
prazocin
title Scorpion sting: Myriad presentation in PICU
title_full Scorpion sting: Myriad presentation in PICU
title_fullStr Scorpion sting: Myriad presentation in PICU
title_full_unstemmed Scorpion sting: Myriad presentation in PICU
title_short Scorpion sting: Myriad presentation in PICU
title_sort scorpion sting myriad presentation in picu
topic scorpion sting
picu
prazocin
url http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2019;volume=6;issue=3;spage=40;epage=44;aulast=Tiwari
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AT manishkumar scorpionstingmyriadpresentationinpicu
AT manikantsrivastava scorpionstingmyriadpresentationinpicu