Cerebral Encephalitis- A Rare CNS Complication of Scorpion Sting
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 2
Abstract
Objectives- Scorpion envenomation is an important public health hazard in tropical and subtropical region. Envenomation by scorpion can result in a wide range of clinical effects including cardiotoxicity, respiratory dysfunction and a rare but important complication affecting the central nervous system being stroke both ischaemic and haemorrhagic. There are about 1500 scorpion species known to exist, of which 30 are of medical importance. In India, the Indian Red Scorpion (Mesobuthus tamulus) common in Western Maharashtra, Gujarat, Kerala, Andhra Pradesh, Tamil Nadu and Karnataka, is known to cause focal neurological presentations which include hemiparesis, haemorrhagic or thrombotic stroke with poor outcome. Methods Case Report- A 45-year-old male, non hypertensive, non diabetic from a rural area (Raigad district), was brought to MGM Medical College and Hospital by relatives with a history of scorpion sting on the proximal phalanx of second toe of the left foot. The patient presented in the emergency room with throbbing pain at the site of sting, profuse sweating, and rapid breathing with Glasgow coma scale of 12/15. His vitals were unstable with a blood pressure of 180/100 mmHg and a heart rate of 56 beats/min. Complete haemogram, renal and liver function tests, serum electrolytes were within normal limits. CPK MB levels were not raised. Chest radiograph showed evidence of bilateral pulmonary edema. Patient was admitted in the intensive care unit and was managed as a critical case. After 3 days of admission, patient developed unexplained unconsciousness. CT brain showed no evidence of intracranial bleed and MRI brain was suggestive of focal encephalitis in frontal lobe. CSF examination was done which was within normal limits, thus indicating the probable cause of encephalitis to be scorpion envenomation. Patient was treated with prazosin and other supportive measures. However, there was no clinical improvement and the patient expired.
Authors and Affiliations
Dr Babita Ghodke
Keywords
Related Articles
- EP ID EP273438
- DOI -
- Views 54
- Downloads 0
Protective Role of Vitamin C on Sperm Morphology and Biochemical Enzymes in Lead Nitrate Treated Albino Rats
Lead is a well known heavy metal and is found in various components of earth environment and is a major industrial byproduct. Manipulation of lead from these sources causes toxicity in human beings by oxidative stress, w...
Prevelance of Eye Diseases in Primary School Students in Nagrota
Aim: The study measured the prevalence of eye diseases in primary school children between 5 to 12 years of age. Material and Methods: Cross-sectional and observational study was carried in June 2017 on students of classe...
A Study to Assess the Knowledge Regarding Blood Donation among the Adolescents of Selected Colleges in Pune City
Introduction: Blood is described as a connective tissue. It provides one of the means of communication between the cells of different parts of the body and it is composed of a fluid part called plasma and a cellular mass...
Efficacy of Peri-Operative Intercostal Nerve Blockade in Standard PCNL- A Prospective Cohort Study
Introduction and Aim: Percutaneous nephrolithotomy (PCNL) has become the GOLD standard for the management of renal calculi. But pain in the immediate post-op period especiallyin institutions where Standard PCNL is still...
Persistant Mullerian Duct Syndrome with Transverse Testicular Ectopia Presenting as Left Inguinal Hernia with Cryptorchidism, A Rare Presentation
Inguinal hernia and undescended testes in a patient can present with transverse testicular ectopia (TTE) and very rarely, with residual Mullerian duct structures. This is called persistent Mullerian duct syndrome (PMDS)....