Abstract
Scorpion stings are more common in our India as well as other countries. 1.23 million Scorpion bite cases are diagnosed per annum, among that 32,000 cases may be fatal. Majority of scorpions proceeds similar cardiovascular effects. Scorpion venom contains number of toxins like alpha and beta toxins etc., which activates both sympathetic and parasympathetic neurotransmitters. Morbidity and mortality rate of scorpion envenomation is high in rural areas due to the lack of medical facilities. Generally, scorpion stings are harmless but in some times they have both local (pain, burning sensation at the site of sting and swelling, redness) and systemic (pulmonary edema, myocardial damage, hypertension, hyperglycemia, priapism and arrhythmias.) manifestations including death also. Prazosin is most important antidote for scorpion sting. In our case, 45 years male patient was admitted in general medicine department with scorpion sting, he was administered with parenteral hydrocortisone100 mg and antihistamine Pheniramine maleate 22.7 mg after washing the site of sting. On 3rd day we observed abnormal heart sounds (S3) and ECG changes suggests early Myocarditis, after considering the patient’s past medical history and social habits we confirmed that the patient had developed Myocarditis due to scorpion sting. As there are very few cases of scorpion sting induced Myocarditis, it is necessary to monitor closely the electrocardiographic changes of the patient periodically.
