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

ABSTRACT Background and objectives : Scorpion sting is a frequent, life threatening medical emergency in children. They constitute a significant public health problem in many underdeveloped counties, including india. This study was to done to study to the clinical presentation and outcome of scorpion sting in children. Methodology : This is an observational study of 141 cases of scorpion sting, admitted to government raja mirasdhar 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. Complications 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 cases (99%), recovered, without sequelae. conclusion : Scorpion stings is a serious, potentially fatal emergency in our area. Peripheral circulatory circulatory 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 complications and mortality.