A RETROSPECTIVE STUDY OF CLINICOEPIDEMIOLOGY AND TREATMENT OUTCOME OF SCORPION STING IN KONASEEMA REGION OF ANDHRA PRADESH

Abstract

Gayatri Sabinkar1, A. V. Narasimha Raju2, Anand Acharya3

INTRODUCTION
Scorpions live in warm, dry regions throughout India. They inhabit commonly the crevices of dwellings, underground burrows, under logs or debris, paddy husk, sugar cane fields, coconut and banana. Scorpion stings are primarily due to accidental contact with scorpion. Konaseema region of Andhra Pradesh is delta of Godavari river. Because of good irrigation there is rich cultivation of banana and paddy and there are plenty of coconut plantations, so that is a good habitat for scorpions.
METHOD
Present study is a hospital based retrospective study. All the data related to the scorpion sting in Konaseema Institute of Medical Sciences admitted during Jan 2012 to Jan 2016 has been collected.
RESULT
Total 54 patients of all the age group and both the sexes were included in to the study. Out of 54 patients, 32 were male and 22 were female. Regarding signs of scorpion sting, tachycardia was present in 40 patients, ten patients developed hypertension. Six patients developed arrhythmia. Dyspnoea and convulsion was present in 6 and 2 patients respectively.
DISCUSSION
Scorpion venom is classified as per its structure, mode of action and binding site. Regarding complications of scorpion sting, four patients developed pulmonary oedema and 3 having convulsion. Out of all 54 patients, 53 were recovered and 1 patient died.
CONCLUSION
With the availability of potent vasodilators like prazosin and good ICU facilities, the incidence of death and complication due to scorpion bite has reduced.

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