Volume : IV, Issue : I, January - 2014

Reversible cardiomyopathy in scorpion sting–a case report

Dr Kamal Lochan Behera, Dr Samir Kumar Panda, Dr Y Aiswarya, Dr G Swaranalatha

Abstract :

Scorpion envenomation is an important public health hazard in tropical and sub-tropical regions. Envenomation by scorpions can result in a wide range of clinical effects, including, cardio toxicity, neurotoxicity and respiratory dysfunction. Out of 1500 scorpion species known to exist, about 30 are of medical importance. (1) Although a variety of different scorpion species exist, majority of them produce similar cardiovascular effect. Scorpion envenoming syndrome results in severe autonomic storm with massive release of catecholamines, increased levels of angiotenin2, and increase in glucagon, cortisol, thyroid hormones; either suppressed insulin levels or hyperinsulinemia (insulin resistance), hyperglycemia: increased circulating free fatty acid level. These hormonal alterations could be responsible for the pathogenesis of variety of clinical manifestation. Under these condition scorpion sting with myocardial damage, cardiovascular disturbances, peripheral circulatory failure, respiratory and cardiac pulmonary edema, and many other clinical manifestations, result in a syndrome of fuel energy deficits and inability to use the existing metabolic substrate by vital organs causing multisystem organ failures and death. Here we repot a case of reversible cardiomyopathy due to scorpion sting induced myocarditis.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR KAMAL LOCHAN BEHERA, DR SAMIR KUMAR PANDA, DR Y AISWARYA, DR G SWARANALATHA Reversible cardiomyopathy in scorpion sting-a case report Indian Journal of Applied Research, Vol.IV, Issue. I

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