Is administration of antivenin necessary for all cases of scorpion envenomation? A case report
Zahide Doğanay1, Aydın Deniz Karataş1, Ahmet Baydın1, Fikret Bildik2, Dursun Aygün1
1Ondokuzmayıs Üniveristesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Samsun
2Samsun Devlet Hastanesi, Acil Servis, Samsun
Abstract
Although there are 13 scorpion species in Turkey, the venom of only two produce severe systemic toxicity. Application of a symptomatic toxicological approach in the treatment of scorpion envenomation may be effective. The decision to utilize antivenin for patients presenting with scorpion envenomation should be based on evidence based algorithms, which incorporate clinical features including signs, findings and age of the patient. The use of antivenin should be weighed against potential toxicity resulting from administration of the antidote. An example of antivenin utilization is detailed in this case report.