Second degree atrio-ventricular block and cardiotoxicity secondary to envenomation by the scorpion Leiurus quinquestriatus (`Yellow Scorpion') - an indication for serotherapy?

Tachyarrhythmia following scorpion envenomation might be an indication for anti venin therapy. We present a case of an unusual cardiotoxic response to Leiurus quinquestriatus (`yellow scorpion') venom - second degree atrio-ventricular block (Mobitz type 1). We review the biological activities o...

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Bibliographic Details
Published in:Human & experimental toxicology 1998-10, Vol.17 (10), p.541-543
Main Authors: Shapira, Michael Y, Haviv, Yosef S, Sviri, Sigal
Format: Article
Language:English
Subjects:
Adult
Animal poisons toxicology. Antivenoms
Animals
Antivenins - therapeutic use
Biological and medical sciences
Bradycardia - blood
Bradycardia - etiology
Bradycardia - therapy
Creatine Kinase - metabolism
Electrocardiography
Heart - drug effects
Heart Block - blood
Heart Block - etiology
Heart Block - therapy
Humans
L-Lactate Dehydrogenase - blood
Male
Medical sciences
Scorpion Stings - complications
Scorpion Venoms - poisoning
Scorpions
Toxicology
Treatment Outcome
Troponin I - blood
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Summary:Tachyarrhythmia following scorpion envenomation might be an indication for anti venin therapy. We present a case of an unusual cardiotoxic response to Leiurus quinquestriatus (`yellow scorpion') venom - second degree atrio-ventricular block (Mobitz type 1). We review the biological activities of L. quinquestriatus' venom and the arrhythmia's possible pathophysiology. The question arising from this case is the therapeutic approach to cardiotoxicity and bradyarrhythmias induced by scorpion envenomation - mainly, the indication for anti serum therapy.
ISSN:0960-3271
1477-0903
DOI:10.1177/096032719801701003