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Journal of Case Reports
Scorpion Bite Induced Myocardial Ischaemia and Pulmonary Edema
Ravindu Tiwari, Saumya Gupta, Abhishek Kumar, Nilesh Kumar, LP Meena
Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Corresponding Author:
Dr. Saumya Gupta
Email: g_saumya@yahoo.com
Received: 09-OCT-2018 Accepted: 24-FEB-2020 Published Online: 10-MAR-2020
DOI: http://dx.doi.org/10.17659/01.2020.0013
Background: Scorpion stings are common in India. Most of them are limited to moderate to severe pain at site of bite only, but good number of patients present with life threatening complications in the form of involvement of cardiac, respiratory and nervous system. Here we are reporting a case of myocarditis and pulmonary edema following sting of scorpion. Case Report: A 25 year old male presented with scorpion bite induced myocardial ischaemia, congestive cardiac failure and pulmonary edema. The cardiovascular manifestations in scorpion bite are the result of effect of venom on the sympathetic nervous system, adrenal secretion of catecholamines and the direct toxic effect of the venom on myocardium itself. Conclusion: Severe scorpion bites can present as myocardial ischaemia, congestive cardiac failure and pulmonary edema. Aggressive management with ventilator support, diuretics, parenteral steroids, antihistaminics and ionotropic agents can result in rapid clinical resolution.
Keywords : Myocarditis, Pain, Pulmonary Edema, Scorpion Sting, Venoms.
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