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VOLUME 19 , ISSUE 9 ( 2015 ) > List of Articles

CASE REPORT

Anaphylaxis to scorpion antivenin and its management following envenomation by Indian red scorpion, Mesobuthus tamulus

Rahul Bhoite, Girija Bhoite, Dayanand Bagdure, Himmatrao Bawaskar

Keywords : antivenin, corticosteroids, envenomation, Mesobuthus tamulus, scorpion,Anaphylaxis

Citation Information : Bhoite R, Bhoite G, Bagdure D, Bawaskar H. Anaphylaxis to scorpion antivenin and its management following envenomation by Indian red scorpion, Mesobuthus tamulus. Indian J Crit Care Med 2015; 19 (9):547-549.

DOI: 10.4103/0972-5229.164807

License: CC BY-ND 3.0

Published Online: 00-09-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


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