Scorpion Bite Atypically Presenting As Acute Transverse Myelitis And Sub Arachnoid Hemorrhage: A Case Report And Review
Scorpion Bite Atypically Presenting As Acute Transverse Myelitis And Sub Arachnoid Hemorrhage
Scorpion bite is an important health issue as it has been reported that about ten persons are killed by a venomous scorpion for each killed by a venomous snake. Scorpion venom may be cardiotoxic, hemotoxic, nephrotoxic or even neurotoxic. It acts on the autonomic nervous system producing parasympathetic and sympathetic manifestations. However, few have reported sub arachnoid haemorrhage and transverse myelitis occurring due to scorpion venom. Case Report: We are reporting a case of 50 year old male who presented three days after an episode of scorpion bite with paraplegia and inability to pass urine and stool due to transverse myelitis and subarachnoid hemorrhage. He was investigated and treated accordingly. Clinical improvement was seen within ten days after the initiation of therapy. Conclusion: Scorpion sting, though rarely may present as SAH and transverse myelitis which are reversible and easily treatable. Clinical Significance: As scorpion bite is treatable, having high index of suspicion for scorpion sting in patients of SAH and acute transverse myelitis in whom the cause of their clinical features could not be recognised may help in improving the outcome considerably in these cases.
[Muley A Natl J Integr Res Med, 2021; 12(3): 92-99]