Case Report

Evidence of Direct Toxicological Effects of Scorpion Venom on Central Nervous System in Tunisian Children

Table 1

Clinical parameters recorded on ICU admission.

ParametersResults

Age (Years)16 months

SexMale

SeverityGrade III (with cardiogenic shock and pulmonary edema) and severe neurological manifestations

Respiratory rate (breaths/min)28/min

Heart rate180/min

Glasgow coma scale score5/15

ShockYes

Use of mechanical ventilationYes

pH6.95

Bicarbonate level (mmol/l)6

PaO2/FiO2 ratio70

Echocardiography resultlow left ventricular ejection fraction (LVEF), at 20%

Scorpion antivenom (GAMMA-SCORPĀ®: bivalent scorpion antivenom, Institut Pasteur, Tunis, Tunisia)Yes (1ml/kg)