AUTONOMIC STORM CAUSED BY BLACK SCORPION STING -A REPORT FROM KERALA

Volume : VII, Issue : IV, April - 2018

Dr. Geetha. P, Dr. K. G. Sajeeth Kumar, Dr. Santhosh Narayanan, Dr. Udayabhaskaran. V

Scorpion stings are a major health problem in India and the incidence of serious envenomations are very high. Among the different species of

scorpions available, the Indian red scorpion and black scorpion are medical of importance in India. Its venom is water soluble, antigenic and

consists of a heterogeneous mixture of cardiotoxins and neurotoxins. Scorpion envenomations are a life threatening time limiting emergency.

Although adults are more often stung, the fatality rates are high in children because of their lower body mass. Scorpion sting causes a wide range of

clinical symptoms ranging from severe local skin reactions to neurologic, respiratory and cardiovascular collapse. Most of the envenomations

results in acute painful local reaction that can be treated with local analgesics. But some cases become fatal where death occur secondary to cardiac

or respiratory failure. We present a case of 25 year old lady with features of neurotoxic envenomation.