Bhoite Rahul Ramesh, Bhoite Girija Ramesh, Bagdure Dayanand N, Bawaskar Himmatrao S
Department of Medicine, Giriraj Hospital, Baramati, Pune, Maharashtra, India.
Department of Cardiology, Medstar Washington Hospital Center, Washington, D. C., USA.
Indian J Crit Care Med. 2015 Sep;19(9):547-9. doi: 10.4103/0972-5229.164807.
Mesobuthus tamulus is an Indian red scorpion that is responsible for numerous cases of scorpion stings in the Indian subcontinent. Antivenin, vasodilators, and benzodiazepines are medications of choice in the treatment of scorpion bites. Adverse reactions such as anaphylaxis to antivenin have been infrequently described in the literature. We, herein, present a case of a 42-year-old man stung by Indian red scorpion while gardening at home in India, who presented with extreme pain at the sting site and signs of cardio-toxicity. He was treated with scorpion antivenin and vasodilators but developed anaphylaxis to antivenin. We discuss management strategies. Anaphylaxis to antivenin should be on the differential during management of scorpion bites because classical signs of anaphylaxis may be absent.
印度红蝎是一种在印度次大陆导致众多蝎子蜇伤病例的蝎子。抗蛇毒血清、血管扩张剂和苯二氮䓬类药物是治疗蝎子蜇伤的首选药物。文献中很少描述对抗蛇毒血清的过敏反应等不良反应。在此，我们报告一例42岁男性，在印度家中园艺时被印度红蝎蜇伤，其蜇伤部位剧痛并出现心脏毒性体征。他接受了蝎子抗蛇毒血清和血管扩张剂治疗，但对抗蛇毒血清产生了过敏反应。我们讨论了管理策略。在蝎子蜇伤的处理过程中，应考虑到对抗蛇毒血清的过敏反应，因为可能不存在过敏反应的典型体征。
