Case Report

Acute Myocardits Due to Scorpion Sting in a 9-Year-Old Girl


A 9-year-old girl with signs and symptoms of acute toxic myocarditis and cardiogenic shock with elevated cardiac enzymes was admitted to the Critical Care Unit (CCU) of our hospital with an ejection fraction of 25%. The patient was managed with supportive care and the administration of polyvalent antivenom and inotropes, and after 8 days, she was discharged without any complication with normal ejection fraction. Toxic myocarditis can be a result of scorpion envenomation. After two months of follow-up, the patient recovered completely and medications were discontinued.

[1] Mahadevan S, Rameshkumar R. Systemic manifestatons in children with scorpion stng envenomaton: How to manage? Indian Journal of Pediatrics. 2015; 82(6):497-8. [DOI:10.1007/s12098-015- 1705-7] [PMID]
[2] Dehghankhalili M, Mobaraki H, Akbarzadeh A, Yazdani R, Nazemi A, Ghaffarpasand F, et al. Clinical and laboratory characteristcs of pediatric scorpion stngs: A report from southern Iran. Pediatric Emergency Care. 2017; 33(6):405-8. [DOI:10.1097/ PEC.0000000000000559] [PMID]
[3] Bosnak M, Levent Yilmaz H, Ece A, Yildizdas D, Yolbas I, Kocamaz H, et al. Severe scorpion envenomaton in children: Management in pediatric intensive care unit. Human & Experimental Toxicology. 2009; 28(11):721-8. [DOI:10.1177/0960327109350667] [PMID]
[4] Skolnik AB, Ewald MB. Pediatric scorpion envenomaton in the United States: Morbidity, mortality, and therapeutc innovatons. Pediatric Emergency Care. 2013; 29(1):98-103. [DOI:10.1097/ PEC.0b013e31827b5733] [PMID]
[5] Caglar A, Kose H, Babayigit A, Oner T, Duman M. Predictve factors for determining the clinical severity of pediatric scorpion envenomaton cases in southeastern Turkey. Wilderness & Environmental Medicine. 2015; 26(4):451-8. [DOI:10.1016/j.wem.2015.04.005] [PMID]
[6] Simon RB. Managing scorpion envenomaton in children. Nursing. 2015; 45(1):13-5. [DOI:10.1097/01.NURSE.0000458932.35501.6a] [PMID]
[7] Ahmed AE, Hassan MH, Rashwan NI, Sayed MM, Meki AMA. Myocardial injury induced by scorpion stng envenoming and evidence of oxidatve stress in Egyptan children. Toxicon. 2018; 153:72-7. [DOI:10.1016/j.toxicon.2018.08.008] [PMID]
[8] Gokay SS, Kendir OT, Gullu UU, Nalbant T, Ekinci F, Matyar S, et al. Myocardits and early markers of cardiac response associated with scorpion stngs in children. Wilderness & Environmental Medicine. 2018; 29(4):471-8. [DOI:10.1016/j.wem.2018.06.013] [PMID]
[9] El-DeeK SE, Sayed AA, Nassar AY, Mohey-Eldeen ZM, Eldeeb HM, Meki AM. Role of some vasoactve mediators in scorpion envenomed children: Possible relaton to envenoming outcome. Toxicon. 2017; 127:77-84. [DOI:10.1016/j.toxicon.2017.01.006] [PMID]
[10] Mishra OP, Prasad R. Myocardial dysfuncton in children with scorpion stng envenomaton. Indian Pediatrics. 2015; 52(4):291-2. [PMID]
[11] Abdi A, Farshidi H, Rahimi S, Amini A, Tasnim Efekhari SF. Electrocardiologic and echocardiographic fndings in patents with scorpion stng. Iranian Red Crescent Medical Journal. 2013; 15(5):446-7. [PMID] [PMCID]
[12] Ismail M, Asaad N, Suwaidi JA, Kawari MA, Salam A. Acute myocardits and pulmonary edema due to scorpion stng. Global Cardiology Science & Practce. 2016; 2016(1):e201610-e. [DOI:10.21542/ gcsp.2016.10] [PMID] [PMCID]
IssueVol 6 No 3 (2021): May-June QRcode
SectionCase Report(s)
Myocardits Stng Scorpion

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How to Cite
Khalilian MR, Tavallai Zavareh SA, Norouzi AR, Ghazavi M, Goudarzi AA. Acute Myocardits Due to Scorpion Sting in a 9-Year-Old Girl. CRCP. 2021;6(3):86-89.