Lethal Brain Edema, Shock, and Coagulopathy After Scorpion Envenomation

Pediatric Intensive Care Unit, Soroka University Medical Center and the Faculty of Health Sciences at Ben Gurion University of the Negev, Beer Sheva, Israel.
Wilderness and Environmental Medicine (Impact Factor: 1.2). 12/2012; 24(1). DOI: 10.1016/j.wem.2012.09.009
Source: PubMed

ABSTRACT We report the case of a 2-year-old Bedouin boy in whom developed severe and unusual complications after being stung, most probably, by the yellow scorpion Leiurus quinquestriatus hebraeus. Five hours after arrival to the emergency department, the boy had multisystem organ failure involving the central nervous system (seizure activity followed by coma with dilated, nonreactive pupils, and severe brain edema), shock (noncardiogenic), disseminated intravascular coagulation, renal failure, hepatic failure, and watery diarrhea, causing his death. In view of the relevant literature, we discuss the pathophysiologic events ultimately leading to his death.

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