Acute respiratory failure following scorpion stings: Anaphylaxis or severe systemic envenomation?

Scorpion stings can cause a range of reactions which includes severe systemic envenomation resulting in respiratory failure, cardiovascular collapse, and severe neurologic complications. Patients with allergies to scorpion venom or allergies to bee and ant venom can have anaphylactic reactions follo...

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Main Authors: Austin Castillo, Pradeep Attaluri
Format: Article
Language:English
Published: Southwest Respiratory and Critical Care Chronicles 2018-01-01
Series:Southwest Respiratory and Critical Care Chronicles
Subjects:
Online Access:http://www.pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/435
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author Austin Castillo
Pradeep Attaluri
author_facet Austin Castillo
Pradeep Attaluri
author_sort Austin Castillo
collection DOAJ
description Scorpion stings can cause a range of reactions which includes severe systemic envenomation resulting in respiratory failure, cardiovascular collapse, and severe neurologic complications. Patients with allergies to scorpion venom or allergies to bee and ant venom can have anaphylactic reactions following scorpion stings. We report a patient who developed severe respiratory distress following 2-3 scorpion stings on her face. She required an emergency cricothyroidotomy and prolonged hospitalization, related in part to underlying comorbidity. Physicians caring for patients following scorpion stings need to remember that these patients can have severe reactions to the venom, including anaphylactic reactions. The initial management likely involves respiratory and cardiac resuscitation. These patients may have a very difficult intubation and require an emergency surgical airway.
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spelling doaj.art-7539f76f65bf4c2b949ab1f24b8cf89a2022-12-21T19:00:31ZengSouthwest Respiratory and Critical Care ChroniclesSouthwest Respiratory and Critical Care Chronicles2325-92052018-01-01622475010.12746/swrccc.v6i22.435362Acute respiratory failure following scorpion stings: Anaphylaxis or severe systemic envenomation?Austin CastilloPradeep AttaluriScorpion stings can cause a range of reactions which includes severe systemic envenomation resulting in respiratory failure, cardiovascular collapse, and severe neurologic complications. Patients with allergies to scorpion venom or allergies to bee and ant venom can have anaphylactic reactions following scorpion stings. We report a patient who developed severe respiratory distress following 2-3 scorpion stings on her face. She required an emergency cricothyroidotomy and prolonged hospitalization, related in part to underlying comorbidity. Physicians caring for patients following scorpion stings need to remember that these patients can have severe reactions to the venom, including anaphylactic reactions. The initial management likely involves respiratory and cardiac resuscitation. These patients may have a very difficult intubation and require an emergency surgical airway.http://www.pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/435scorpion, envenomation, acute respiratory failure, anaphylaxis
spellingShingle Austin Castillo
Pradeep Attaluri
Acute respiratory failure following scorpion stings: Anaphylaxis or severe systemic envenomation?
Southwest Respiratory and Critical Care Chronicles
scorpion, envenomation, acute respiratory failure, anaphylaxis
title Acute respiratory failure following scorpion stings: Anaphylaxis or severe systemic envenomation?
title_full Acute respiratory failure following scorpion stings: Anaphylaxis or severe systemic envenomation?
title_fullStr Acute respiratory failure following scorpion stings: Anaphylaxis or severe systemic envenomation?
title_full_unstemmed Acute respiratory failure following scorpion stings: Anaphylaxis or severe systemic envenomation?
title_short Acute respiratory failure following scorpion stings: Anaphylaxis or severe systemic envenomation?
title_sort acute respiratory failure following scorpion stings anaphylaxis or severe systemic envenomation
topic scorpion, envenomation, acute respiratory failure, anaphylaxis
url http://www.pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/435
work_keys_str_mv AT austincastillo acuterespiratoryfailurefollowingscorpionstingsanaphylaxisorseveresystemicenvenomation
AT pradeepattaluri acuterespiratoryfailurefollowingscorpionstingsanaphylaxisorseveresystemicenvenomation