Sting, Scorpion

Sting, Scorpion is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Scorpion venom is neurotoxic:
    • Sodium channels opening
    • Prolonged firing of neurons
  • Autonomic, somatic, and cranial nerve excitation occurs.
  • Symptoms begin within minutes of bite.
  • Symptoms persist 1–72 hr.

Etiology

  • Centruroides species found in Southern US, Mexico, Central America, and Caribbean
  • Many other species in Asia, Africa, Israel, South America, and Middle East

Pediatric Considerations
  • Can be misdiagnosed as seizures, amphetamine poisoning, or meningitis
  • Higher mortality and severity of illness

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