Koshy Preethy, Chavan Gajanan, Gadkari Charuta, Dubey Shubham
Emergency Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Nephrology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Sep 8;15(9):e44886. doi: 10.7759/cureus.44886. eCollection 2023 Sep.
Scorpion sting cases are everyday encounters in the Emergency Department (ED). However, scorpion sting-induced systemic manifestations are rarely seen. Signs and symptoms of envenomation involve the central nervous system, stimulation of the autonomic nervous system and rarely respiratory and heart failure leading to death. Cardiovascular manifestations are particularly prominent following stings by the Indian red scorpion. This case report is of an 18-year-old male patient who presented to ED with complaints of scorpion sting. Twelve lead electrocardiography (ECG) done was suggestive of acute inferior wall myocardial infarction with raised cardiac markers. He also had autonomic dysfunction in the form of hypertension, hypothermia and priapism. He was treated with an alpha-blocker, dual antiplatelets and analgesics. ECG changes reverted to normal the next day, and he was discharged. So, the anticipation of life-threatening complications of scorpion stings plays a vital role in the treatment and prognosis of patients presenting to ED.
蝎子蜇伤病例在急诊科很常见。然而，蝎子蜇伤引起的全身表现很少见。中毒的体征和症状涉及中枢神经系统、自主神经系统的刺激，很少导致呼吸和心力衰竭死亡。印度红蝎子蜇伤后心血管表现尤为突出。本病例报告的是一名18岁男性患者，因蝎子蜇伤主诉就诊于急诊科。所做的12导联心电图提示急性下壁心肌梗死，心肌标志物升高。他还存在自主神经功能障碍，表现为高血压、体温过低和阴茎异常勃起。给予他α受体阻滞剂、双联抗血小板药物和镇痛药治疗。第二天心电图改变恢复正常，他出院了。因此，对蝎子蜇伤危及生命并发症的预判在急诊科就诊患者的治疗和预后中起着至关重要的作用。
