14.06.2024 | Correspondence
Pediatric Ischemic Stroke Following Scorpion Sting
verfasst von:
Manel Weli, Imene Moalla, Manel Hsairi, Sahar Trichelli, Abdelmajid Mahfoudh, Bayene Maalej, Lamia Gargouri
Erschienen in:
Indian Journal of Pediatrics
|
Ausgabe 10/2024
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Excerpt
To the Editor: A 15-mo-old, previously healthy girl was stung on the right foot by a yellow scorpion. Four hours later, she was brought to the pediatric emergency department for impaired consciousness. On admission, she was confused [with a Glasgow Coma score (GCS) of 14]. She also had cold extremities, her pulse was 160 bpm and her mean arterial pressure was 40 mmHg. Ten minutes later, she developed coma with GCS of 7, hemiplegia, generalized tonic–clonic seizure and respiratory distress followed by cardiogenic shock. She was managed with intravenous phenobarbital; dobutamine was promptly started and she was intubated and ventilated. Moreover, the patient received scorpion antivenom. Cardiac function was explored by echocardiography, showing a low left ventricular ejection fraction (LVEF) of 25% under vasopressor. Troponin was elevated. …
