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 57
- Downloads 0
Histopathological Evaluation of Bone Tumours in a Teaching Hospital
Introduction: Bone lesions often pose diagnostic challenges to surgical pathologists. In the WHO classification, most bone neoplasms are classified as either benign or malignant. Therefore, an integrated approach involvi...
Recurrent Dislocation Patella Comparative Study of Surgical Procedures
The aim of the treatment in Recurrent Dislocation Patella is to achieve a stable and painless patellofemoral joint with full range of knee movement. Various surgical procedures have been used to treat this condition, the...
Study to Identify the Microorganisms Responsible for Nosocomial Infection in Surgical Intensive Care Unit (SICU) of a Tertiary Care Teaching Hospital of North India
Nosocomial infections, also called ‘hospital-acquired infections’ are infections acquired during hospital care which are not present or incubating at admission. Infections occurring more than 48 hrs after admission are u...
Antioxidant Profile of HIV Positive Subjects on HAART Attending ART Clinic in Asaba, Delta State
Highly Active Antiretroviral Therapy (HAART) has been found to be very effective in reduction of viral load and progression of HIV disease. It is however believed that this is at the expense of elevated reactive oxygen s...
Renal Malakoplakia- A Case Report
Malakoplakia is a rare granulomatous disease of infectious etiology. The name is derived from the Greek malakos (soft) and plakos (plaque), describing its usual clinical presentation as friable yellow soft plaques. It wa...