Confirmed Envenomation by Androctonus amoreuxi (Egyptian Yellow Fat Tail Scorpion)  

作　　者：Robert Cole Pueringer Kirk Hughes Isaac Yelkin Jon B. Cole Travis D. Olives Robert Cole Pueringer;Kirk Hughes;Isaac Yelkin;Jon B. Cole;Travis D. Olives(Minnesota Poison Control System, Minneapolis, USA;Department of Emergency Medicine, Essentia Health, Duluth, USA;Department of Emergency Medicine, Hennepin Healthcare, Minneapolis, USA)

机构地区：[1]Minnesota Poison Control System, Minneapolis, USA [2]Department of Emergency Medicine, Essentia Health, Duluth, USA [3]Department of Emergency Medicine, Hennepin Healthcare, Minneapolis, USA

出　　处：《Case Reports in Clinical Medicine》2023年第4期88-92,共5页临床医学病理报告（英文）

摘　　要：In the United States, envenomations by native scorpion species such as Centruroides are common and generally well-tolerated. On the contrary, Androctonus species envenomations are exceedingly rare outside the Middle East and North Africa but are particularly deadly. We report a case of envenomation by an Egyptian Yellow Fat Tail (Androctonus amoreuxi) scorpion and the subsequent clinical course. A hobbyist and dangerous scorpion collector was stung by his pet Androctonus amoreuxi, purchased online. Our patient rapidly developed severe localized pain followed by systemic effects, including tachycardia, hypertension, tachypnea, anxiety, GI symptoms, diplopia, dyspnea, profound myalgias, and intense paresthesias. Ultimately, he was diagnosed with a grade 2-to-3 scorpion envenomation based upon evidence of autonomic hyperactivity and cranial nerve dysfunction. He never progressed to cardiopulmonary compromise;neither dobutamine nor antivenom was administered, and he improved with supportive care alone. Case details were verified in person and via electronic medical record review.In the United States, envenomations by native scorpion species such as Centruroides are common and generally well-tolerated. On the contrary, Androctonus species envenomations are exceedingly rare outside the Middle East and North Africa but are particularly deadly. We report a case of envenomation by an Egyptian Yellow Fat Tail (Androctonus amoreuxi) scorpion and the subsequent clinical course. A hobbyist and dangerous scorpion collector was stung by his pet Androctonus amoreuxi, purchased online. Our patient rapidly developed severe localized pain followed by systemic effects, including tachycardia, hypertension, tachypnea, anxiety, GI symptoms, diplopia, dyspnea, profound myalgias, and intense paresthesias. Ultimately, he was diagnosed with a grade 2-to-3 scorpion envenomation based upon evidence of autonomic hyperactivity and cranial nerve dysfunction. He never progressed to cardiopulmonary compromise;neither dobutamine nor antivenom was administered, and he improved with supportive care alone. Case details were verified in person and via electronic medical record review.

关 键 词：Androctonus amoreuxi Fat Tail Scorpion ENVENOMATION 

分 类 号：R73[医药卫生—肿瘤]