Thiruppathiraja, N (2020) The Clinical Profile and Electrocardiographic Changes in Scorpion Envenomation. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION: Scorpion stings are a major public health problem in many underdeveloped countries. In India, Many people are stung by the red scorpion (Mesobuthus tamulus) with fatalities in adults and children. Scorpion sting is a life threatening medical emergency of villagers in India. Numerous envenomations are unreported. So true incidence is not known. Among the eighty six scorpion species in India, Mesobuthus tamulus and Palamneus gravimanus are of medical importance. AIMS AND OBJECTIVES: Aim of the study is to assess the clinical profile and electrocardiographic changes caused by scorpion envenomation and to study the severity of scorpion envenomation. METHODS: The study was carried out among patients who admitted in the toxicology ward of Rajiv Gandhi Government General Hospital with history of scorpion sting based on inclusion criteria and exclusion criteria. Total of 87 patients as study subjects and 24 patients as control were selected. Clinical details about the scorpion sting were collected. Complete blood count, Blood sugar, Renal function test, serum CPK, CKMB, CXR, ECG and ECHO taken for both subjects and controls and results were analysed. RESULTS: The study showed male predominance of scorpion study. The incidence was more common between 31 to 40 yrs of age. Scorpion stings more commonly occurs at night. Upper half of the body is common involved in stings. 59.8% of the patients presented with Grade 1 envenomation. 29.9% with Grade 2 and 10.3% with Grade 3 envenomation. Sinus tachycardia was the most common ECG finding. There was no significant difference in clinical presentation with respect to age group and gender. The patients who presented late to the emergency room after scorpion sting were found to have greater morbidity. There was statistical significance in the relationship between ECG changes and biochemical markers like CPK and CK-MB. No deaths observed during the study. CONCLUSION: In this study 36 out of 87cases had ECG changes. Five of the patients presented with pulmonary edema. There was no mortality due to scorpion sting in the present study. There was significant correlation between the time delay and severity of envenomation. This indicates a need for immediate medical care following scorpion sting.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 201711023 |
| Uncontrolled Keywords: | Clinical Profile, Electrocardiographic Changes, Scorpion Envenomation. |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 28 Jan 2021 09:52 |
| Last Modified: | 28 Jan 2021 09:52 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13222 |
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