Cardiological Findings In Different Regimens Of Scorpion Sting Treatment
Keywords:
Scorpion envenomation, Doxazosin, Insulin-glucose infusion, ECG, Echocardiography, Pediatric poisoningAbstract
Background: Envenoming by fatal scorpions is one of the most important accidents that occur in different parts of the world, specifically in developing countries. Cardiovascular complications associated with scorpion sting are considered one of the commonest causes of morbidity and mortality.
Aim: Evaluation of the cardiological findings according to the different bases of treatment of scorpion sting in Minia Poison Control Center (MPCC).
Patients and Methods: A prospective clinical study was conducted on 80 children, both males and females, aged 3 to 17 years, who were admitted to the Minia University Hospital Poison Control Center (MPCC). It was completed over 18 months, from December 2023 to May 2025. Patients were classified into four groups according to specific treatment. Socio-demographic data, electrocardiography (ECG) on admission and during follow-up, and echocardiography were collected and registered.
Results: Significant improvement was detected in ECG abnormalities in group IV than in group III during follow-up. However, echocardiographic findings didn’t differ significantly among different groups.
Conclusions: Doxazosin-containing regimens play an important role in the improvement of cardiovascular complications linked with scorpion envenomation. We recommend a combination treatment for patients with scorpion envenomation.
