Categories
Agad Tantra Syllabus

Scorpion Sting : What to do, Signs and Symptoms, Treatment

Nomenclature:-

KingdomAnimalia
PhylumArthropoda
ClassArachnida
OrderScorpiones
  • Scorpion is a poisonous insect with a crab like body with 8 legs.
  • It carries:
    • a cephalothorax
    • an abdomen and a 6 segmented tail which terminates in a bulbous enlargement called telson.
  • The telson contains the stinger and venom apparatus.
  • It has 2 claws which help to grasp its prey.
  • Scorpion feed at night and remain hidden during the day in crevices, burrows or under wood, rocks or loose barks.
  • Scorpion sting human being only when disturbed.
  • Around 100 species of scorpions are found in India.
Body Parts of a scorpion
Body Parts of a Scorpion

Physical Properties :-

  • The Venom is clear, colourless, proteinous toxalbumin.
  • The venom usually carries hemotoxic and neurotoxic actions.

Action:-

Scorpion sting
Sting of a Scorpion
  • It is a potent autonomic stimulator resulting in the release of massive amounts of catecholamines from the adrenal glands and nerves ending into the circulation.
  • It also has some direct effect on myocardium .
  • Due to depletion of catecholamines hypotension, bradycardia occur.

Sign & Symptoms:-

  • Local irritation is characterised by redness, pain radiating from the site.
  • The victim may not be able to localise the pain due to its radiation along the dermatomes involves.
  • There may be headache; nausea, chest discomfort, profuse perspiration , hypersalivation, cold extremities and sometimes priapism.
  • Hypertension may occur within 6 hours of sting while pulmonary oedema takes longer time.
  • Neurologic manifestations may persist for upto 1 week or so.
  • Haemolytic factors can mimic viperine snake bite .
  • Diagnosis is by locating only one deep punctured wound.
  • Neurotoxic factor can mimic strychnine poisoning victim present with nausea, vomiting, restlessness, fever followed by convulsion; paraslysis, coma and death.
  • While mortality in adults is negligible, children may sccumble from pulmonary oedema.

Treatment of Scorpion sting:-

Scorpion
Hottentotta tamulus, the Indian red scorpion.
  • The limb is immobilized and a pressure bandage is applied near the site of sting.
  • Local anaesthetics are also useful to reduce the pain.
  • Stings of non lethal species require at moet ice packs, analgesics or antihistamines.
  • Intravenous administration of calcium gluconate may reduce swelling.
  • Hypertension and pulmonary edema respond to nifedipine, nitroprusside, hydralazine or prazosine and bradyarrhythmias can be controlled with atropine.
  • Giving barbiturates can control the convulsions.
  • Simultaneously, correction of fluid loss due to sweating, vomiting; needs to be taken care of by administring intravenous fluids.

Post – Mortem Findings :-

  • Affected site is swollen, sting may not be found at the site.
  • Pulmonary edema and myocardial infarction may be seen.

Medico Legal Aspects :-

  • Poisoning is usually accidental.