A case of anaphylaxis to antivenin administered for scorpion
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
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.

Case :
A 42-year-old male was stung by a red scorpion to his right index finger while gardening. He was hospitalized an hour later because of severe pain at the sting site. The patient had no known allergies except to dust. He was a nonsmoker, nondiabetic, and normotensive. On examination, the patient was anxious, extremities were cold, noticed to have profuse sweating [Figure 1], pulse was weak and 66 beats/min, and blood pressure of 150/94 mm Hg......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578200/
Like
Comment
Share