Scorpion sting: A 2-year study

Abstract

Scorpion sting and its complications are a serious pediatric problem in district Khuzestan, especially in the warm months of the year (May through November in this area). During 2 years (March 1991-march 1993) totally 10559 cases of scorpion sting have been referred to the scorpion envonimation unit in Aboozar children's hospital, which being the only scorpion sting center in the district is active 1981. 154 cases had to be admitted because of severe complications such as extensive ecchymosis and necrosis of the sting site, severe hemolysis and dark urine, toxic appearance, convulsions, hematemesis, hypotension, pulmonary edema, cardiac heart failure and death. 90% of the admitted cases had been stung by hemiscorpius lepturus, a dangerous scorpion called "Gadim" in Khuzestan. 19 out of 20 fatalities were caused by this scorpion. Unfortunately, the available antivenoms have no effect on this kind of scorpion venom. To reduce casualties, good scorpion control and eradication, intensive protective care, and preparation of specific antivenom must be taken into consideration.