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Bhoite RR, Bhoite GR, Bagdure DN, et al. Anaphylaxis to scorpion antivenin and its management following envenomation by Indian red scorpion, Mesobuthus tamulus. Indian J Crit Care Med. 2015;19(9):547-9doi: 10.4103/0972-5229.164807.
Bhoite, R. R., Bhoite, G. R., Bagdure, D. N., & Bawaskar, H. S. (2015). Anaphylaxis to scorpion antivenin and its management following envenomation by Indian red scorpion, Mesobuthus tamulus. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 19(9), 547-9. https://doi.org/10.4103/0972-5229.164807
Bhoite, Rahul Ramesh, et al. "Anaphylaxis to scorpion antivenin and its management following envenomation by Indian red scorpion, Mesobuthus tamulus." Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine vol. 19,9 (2015): 547-9. doi: https://doi.org/10.4103/0972-5229.164807
Bhoite RR, Bhoite GR, Bagdure DN, Bawaskar HS. Anaphylaxis to scorpion antivenin and its management following envenomation by Indian red scorpion, Mesobuthus tamulus. Indian J Crit Care Med. 2015 Sep;19(9):547-9. doi: 10.4103/0972-5229.164807. PMID: 26430342; PMCID: PMC4578200.
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Indian J Crit Care Med. 2015 Sep;19(9):547-9. doi: 10.4103/0972-5229.164807.

Anaphylaxis to scorpion antivenin and its management following envenomation by Indian red scorpion, Mesobuthus tamulus.

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

Rahul Ramesh Bhoite, Girija Ramesh Bhoite, Dayanand N Bagdure, Himmatrao S Bawaskar

Affiliations

  1. Department of Medicine, Giriraj Hospital, Baramati, Pune, Maharashtra, India.
  2. Department of Cardiology, Medstar Washington Hospital Center, Washington, D. C., USA.
  3. Department of Pediatrics, Division of Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
  4. Bawaskar Hospital and Research Center, Mahad, Maharashtra, India.

PMID: 26430342 PMCID: PMC4578200 DOI: 10.4103/0972-5229.164807

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.

Keywords: Anaphylaxis; Mesobuthus tamulus; antivenin; corticosteroids; envenomation; scorpion

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