A study on clinical presentation and outcome of scorpion sting in children

Introduction and objectives: Scorpion sting is a frequent, life threatening medical emergency in children. They constitute a significant public health problem in many underdeveloped countries, including India. This study was done to analyse the clinical presentation and outcome of scorpion sting in children Material and Methods:This is an observational study of 141 cases of scorpion sting, admitted at Government Raja Mirasdar Hospital, Thanjavur. The clinical presentation and outcome were studied. Results:Scorpion sting is a common, pediatric emergency in our area. Rural male children, from lower socioeconomic groups, aged between 1-3 years (35%) and 7-12 years (34%) were most commonly affected. Pain at the site of sting (89%) and cold peripheries (77%) were the most common presenting symptom and sign respectively. Myocarditis (9%) and pulmonary edema (4%), were also frequently encountered. Complication were more common in younger children and in cases who received the first dose of prazosin late i.e. (After 6 hours). One case succumbed to the death (0.7%), but majority of the cases (99%), recovered without sequelae. Conclusion:Scorpion sting is a serious, potentially fatal emergency in our area. Peripheral circulatory failure is common. Cardiovascular manifestations are life threatening. Scorpion stings constitute a “occupational hazard” for children employed as agricultural labourers. Administration of prazosin, as early as possible, is probably, the single most effective intervention in preventing complication and mortality.