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Case Reports in Emergency Medicine
Volume 2015 (2015), Article ID 320574, 3 pages
http://dx.doi.org/10.1155/2015/320574
Case Report

Methamphetamine Ingestion Misdiagnosed as Centruroides sculpturatus Envenomation

1Department of Emergency Medicine, Carl R Darnall Army Medical Center, 36000 Darnall Loop, Fort Hood, TX 76554, USA
2Arizona Poison & Drug Information Center (APDIC), University of Arizona College of Pharmacy, Tucson, AZ 85721, USA
3Arizona Emergency Medicine Research Center, University of Arizona College of Medicine, Tucson, AZ 85721, USA

Received 8 October 2014; Accepted 14 December 2014

Academic Editor: Serdar Kula

Copyright © 2015 Joshua Strommen and Farshad Shirazi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The authors present a case report of a 17-month-old female child who ingested a large amount of methamphetamine that looked very similar clinically to a scorpion envenomation specific to the southwestern United States by the species Centruroides sculpturatus. The child was initially treated with 3 vials of antivenom specific for that scorpion species and showed a transient, though clinically relevant neurologic improvement. Her clinical course of sympathomimetic toxicity resumed and she was treated with intravenous fluids and benzodiazepines after blood analysis showed significant levels of d-methamphetamine. This case report is to specifically underline the clinical confusion in discerning between these two conditions and the realization of limited and/or expensive resources that may be used in the process.