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1.
Isbister GK , Bawaskar HS , 2014. Scorpion envenomation. N Engl J Med 371: 457–463.
-
2.
Mahadevan S , 2022. Standard Treatment Guidelines: Scorpion Envenomation. Mumbai, India: Indian Academy of Pediatrics. Available at: https://iapindia.org/pdf/Ch-085-Scorpion-Envenomation.pdf. Accessed January 15, 2024.
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3.
Santos MS et al., 2016. Clinical and epidemiological aspects of scorpionism in the world: A systematic review. (Published correction appears in Wilderness Environ Med, 2017, 28: 162–166.) Wilderness Environ Med 27: 504–518.
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4.
Nunes KP , Torres FS , Borges MH , Matavel A , Pimenta AMC , De Lima ME , 2013. New insights on arthropod toxins that potentiate erectile function. Toxicon 69: 152–159.
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5.
Mallick SA , Ahmed S , 2018. Priapism in scorpion stings within the Kingdom of Saudi Arabia: A case report. Annals ASH & KMDC 23: 191.
-
6.
Bellouki O , El Bote H , Lakssir J , Boughaleb A , Abaair Y , 2023. Priapism associated with penile haematoma following a scorpion sting in a child: A rare case report. Urol Case Rep 50: 102508.
-
7.
Prasad R , Mishra OP , Pandey N , Singh TB , 2011. Scorpion sting envenomation in children: Factors affecting the outcome. Indian J Pediatr 78: 544–548.
-
8.
Saad K , El-Hamed MAA , Abo-Elela MGM , Ahmed AE , Abdel-Baseer KA , Aboul-Khair MD , Metwalley KA , El-Houfey AA , Hasan GM , El-Shareef AM , 2017. Neurologic complications in children with scorpionism: A retrospective study in Upper Egypt. J Child Neurol 32: 537–542.
-
9.
Baseer KA , Naser MAA , 2019. Predictors for mortality in children with scorpion envenomation admitted to pediatric intensive care unit, Qena Governorate, Egypt. Am J Trop Med Hyg 101: 941–945.
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10.
Bivalacqua TJ et al., 2022. The diagnosis and management of recurrent ischemic priapism, priapism in sickle cell patients, and non-ischemic priapism: An AUA/SMSNA guideline. J Urol 208: 43–52.
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11.
Mantadakis E , Ewalt DH , Cavender JD , Rogers ZR , Buchanan GR , 2000. Outpatient penile aspiration and epinephrine irrigation for young patients with sickle cell anemia and prolonged priapism. Blood 95: 78–82.
-
12.
Martin C , Cocchio C , 2016. Effect of phenylephrine and terbutaline on ischemic priapism: A retrospective review. Am J Emerg Med 34: 222–224.
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Case Report: Scorpion Envenomation with Delayed Ischemic Priapism in a Preadolescent—An Unusual Presentation
Rahul Gupta
Rahul Gupta
Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, India;
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Pradeep Kumar Gunasekaran
Pradeep Kumar Gunasekaran
Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, India;
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Bharat Choudhary
drbharatpaeder@gmail.com
Bharat Choudhary
Department of Trauma and Emergency (Pediatrics), All India Institute of Medical Sciences, Jodhpur, India;
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Gautam Ram Choudhary
Gautam Ram Choudhary
Department of Urology, All India Institute of Medical Sciences, Jodhpur, India
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ABSTRACT.
Priapism as a complication of scorpionism in children is rare and is categorized as grade II of severity. The pathogenesis is the activation of parasympathetic pathways that stimulate the release of acetylcholine. An 8-year-old boy, a known case of steroid-dependent nephrotic syndrome, presented with a history of persistent penile erection for the previous 12 hours. He had a history of a black scorpion (Heterometrus swammerdami) sting on his right leg 4 days earlier. He was given adequate analgesia, and prazosin was started at 30 µg/kg/dose because of the parasympathetic overactivity. Doppler ultrasonography of the penile shaft showed a bilateral thickened, bulky, and edematous corpus cavernosa and no arterial flow due to venous congestion, suggesting ischemic (low-flow) priapism. Detumescence was not accomplished with saline irrigation and aspiration or with intracorporeal irrigation with phenylephrine. Thus, a distal T-shunt was done. We illustrate an interesting case of scorpion envenomation with delayed ischemic priapism.
Author Notes
Authors’ contributions: Study design, writing, editing, and drafting: R. Gupta, P. K. Gunasekaran, and B. Choudhary; intellectual content: B. Choudhary; critical revision and final approval: R. Gupta, P. K. Gunasekaran, B. Choudhary, and G. R. Choudhary.
Current contact information: Rahul Gupta and Pradeep Kumar Gunasekaran, Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, India, E-mails: drrahulgupta2k12@gmail.com and pradeepdoc93@gmail.com. Bharat Choudhary, Department of Trauma and Emergency (Pediatrics), All India Institute of Medical Sciences, Jodhpur, India, E-mail: drbharatpaeder@gmail.com. Gautam Ram Choudhary, Department of Urology, All India Institute of Medical Sciences, Jodhpur, India, E-mail: gautamoshu@gmail.com.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Isbister GK , Bawaskar HS , 2014. Scorpion envenomation. N Engl J Med 371: 457–463.
-
2.
Mahadevan S , 2022. Standard Treatment Guidelines: Scorpion Envenomation. Mumbai, India: Indian Academy of Pediatrics. Available at: https://iapindia.org/pdf/Ch-085-Scorpion-Envenomation.pdf. Accessed January 15, 2024.
-
3.
Santos MS et al., 2016. Clinical and epidemiological aspects of scorpionism in the world: A systematic review. (Published correction appears in Wilderness Environ Med, 2017, 28: 162–166.) Wilderness Environ Med 27: 504–518.
-
4.
Nunes KP , Torres FS , Borges MH , Matavel A , Pimenta AMC , De Lima ME , 2013. New insights on arthropod toxins that potentiate erectile function. Toxicon 69: 152–159.
-
5.
Mallick SA , Ahmed S , 2018. Priapism in scorpion stings within the Kingdom of Saudi Arabia: A case report. Annals ASH & KMDC 23: 191.
-
6.
Bellouki O , El Bote H , Lakssir J , Boughaleb A , Abaair Y , 2023. Priapism associated with penile haematoma following a scorpion sting in a child: A rare case report. Urol Case Rep 50: 102508.
-
7.
Prasad R , Mishra OP , Pandey N , Singh TB , 2011. Scorpion sting envenomation in children: Factors affecting the outcome. Indian J Pediatr 78: 544–548.
-
8.
Saad K , El-Hamed MAA , Abo-Elela MGM , Ahmed AE , Abdel-Baseer KA , Aboul-Khair MD , Metwalley KA , El-Houfey AA , Hasan GM , El-Shareef AM , 2017. Neurologic complications in children with scorpionism: A retrospective study in Upper Egypt. J Child Neurol 32: 537–542.
-
9.
Baseer KA , Naser MAA , 2019. Predictors for mortality in children with scorpion envenomation admitted to pediatric intensive care unit, Qena Governorate, Egypt. Am J Trop Med Hyg 101: 941–945.
-
10.
Bivalacqua TJ et al., 2022. The diagnosis and management of recurrent ischemic priapism, priapism in sickle cell patients, and non-ischemic priapism: An AUA/SMSNA guideline. J Urol 208: 43–52.
-
11.
Mantadakis E , Ewalt DH , Cavender JD , Rogers ZR , Buchanan GR , 2000. Outpatient penile aspiration and epinephrine irrigation for young patients with sickle cell anemia and prolonged priapism. Blood 95: 78–82.
-
12.
Martin C , Cocchio C , 2016. Effect of phenylephrine and terbutaline on ischemic priapism: A retrospective review. Am J Emerg Med 34: 222–224.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1265 | 1265 | 182 |
| Full Text Views | 13 | 13 | 4 |
| PDF Downloads | 21 | 21 | 7 |