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Envenomation by the scorpion (Centruroides limbatus) outside its natural range and recognition of medically important scorpions.

Publication ,  Journal Article
Bush, SP
Published in: Wilderness Environ Med
1999

A 67-year-old woman presented to a community emergency department in Orange County, CA, after she was stung by a scorpion identified as Centruroides limbatus from Central America. She developed local pain and systemic symptoms, including parasthesias, flushing, hypertension, and wheezing. Envenomation by this genus of scorpion has not previously been reported in Orange County. Scorpions have been reported to be accidentally transported to areas where they are not indigenous, and patients may present anywhere with envenomation by dangerous scorpion species. Physicians should recognize general identifying characteristics of dangerous scorpions and serious signs of envenomation. Almost all dangerous genera of scorpions (including Centruroides sp.) are in the family Buthidae, which can be identified by a triangular sternal plate. Severe systemic signs of envenomation by Centruroides sp. may include respiratory difficulty, somatic neuromuscular dysfunction, and cranial nerve dysfunction. Patients stung by dangerous scorpions may require airway support, extended observation, antivenin, and avoidance of respiratory depressive medications.

Duke Scholars

Published In

Wilderness Environ Med

DOI

ISSN

1080-6032

Publication Date

1999

Volume

10

Issue

3

Start / End Page

161 / 164

Location

United States

Related Subject Headings

  • Scorpions
  • Scorpion Venoms
  • Scorpion Stings
  • Respiratory Distress Syndrome
  • Neuromuscular Diseases
  • Humans
  • General & Internal Medicine
  • Female
  • Diagnosis, Differential
  • Cranial Nerve Diseases
 

Citation

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Bush, S. P. (1999). Envenomation by the scorpion (Centruroides limbatus) outside its natural range and recognition of medically important scorpions. Wilderness Environ Med, 10(3), 161–164. https://doi.org/10.1580/1080-6032(1999)010[0161:ebtslo]2.3.co;2
Bush, S. P. “Envenomation by the scorpion (Centruroides limbatus) outside its natural range and recognition of medically important scorpions.Wilderness Environ Med 10, no. 3 (1999): 161–64. https://doi.org/10.1580/1080-6032(1999)010[0161:ebtslo]2.3.co;2.
Bush, S. P. “Envenomation by the scorpion (Centruroides limbatus) outside its natural range and recognition of medically important scorpions.Wilderness Environ Med, vol. 10, no. 3, 1999, pp. 161–64. Pubmed, doi:10.1580/1080-6032(1999)010[0161:ebtslo]2.3.co;2.
Journal cover image

Published In

Wilderness Environ Med

DOI

ISSN

1080-6032

Publication Date

1999

Volume

10

Issue

3

Start / End Page

161 / 164

Location

United States

Related Subject Headings

  • Scorpions
  • Scorpion Venoms
  • Scorpion Stings
  • Respiratory Distress Syndrome
  • Neuromuscular Diseases
  • Humans
  • General & Internal Medicine
  • Female
  • Diagnosis, Differential
  • Cranial Nerve Diseases