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Scorpion Stings - Causes, Symptoms, Treatment, and Complications

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Can a scorpion sting be fatal? Read the article below to know the facts about the scorpion sting.

Written by

Dr. Preetha. J

Medically reviewed by

Dr. Kaushal Bhavsar

Published At October 11, 2022
Reviewed AtOctober 11, 2022

What Is a Scorpion?

A scorpion is a predatory arachnid with eight legs, a pair of lobster-like pinchers, and a tail. Its segmented curved tail will be tipped with a venomous stinger at the rear of the body. The venom will contain a neurotoxin that affects the nervous system of the person bitten by the scorpion. The baby of a scorpion is called the scorplings. They usually ride on their mother's back. Female scorpions are larger than the male scorpion, and they will also eat the male scorpions after mating with them. The scorpions will locate their prey through smell or ground vibration because they have very poor vision despite having 6 to 12 eyes.

What Are the Types of Scorpions?

The types of scorpion are:

  • Giant forest scorpion.

  • Dwarf wood scorpion.

  • Emperor scorpions.

  • European yellow-tailed scorpion.

  • Tanzanian red-clawed scorpion.

  • Fat tail scorpion.

  • Striped barked scorpion.

  • Arizona bark scorpion.

  • Florida bark scorpion.

  • Israeli yellow scorpion.

  • Red Indian scorpion.

  • Lesser brown scorpion.

  • Giant hairy scorpion.

  • Striprd tail scorpion.

  • Whip scorpion.

What Is a Scorpion Sting?

The stinger in the scorpion's tail will cause a scorpion sting. The stinger will release some venom that contains a complex mix of toxins that affect the nervous system (neurotoxins). The scorpion only stings in case of being attacked or provoked. The sting may source severe signs for some, whereas commonly, healthy adults may develop minor signs that resolve without medical aid.

Will You Die When Stung by a Scorpion?

Scorpion stings are quite painful but, you will not die if you were stung by a scorpion. But very young children and older individuals are at risk of complications. Most scorpion sting cases may not require treatment, but sometimes, if left untreated, it may become fatal.

When you were stung by a scorpion, you may experience:

  • Pain at the site of stung.

  • Warmth and swelling.

  • Redness.

  • Burning sensation.

  • Tingling or numbness.

  • Vomiting.

  • Sweating.

  • Drooling.

  • Seizures.

  • Difficulty breathing.

  • Muscle thrashing or twitching.

  • Low blood pressure or high blood pressure.

  • Irregular heartbeat or increased heart rate.

  • Children with scorpion stings may be restless or will cry inconsolably.

  • Unusual eye, neck, and head motions.

Bark Scorpion:

Bark scorpions are considered the most poisonous scorpion that lives in North America. It is 2 inches long and may cause severe symptoms, as its venom is more potent. Young children and older adults may require immediate treatment.

What Are the Effects of Scorpion Venom on the Body?

When stung by the scorpion, it will release neurotoxins in the venom that cause a sudden release of neurotransmitters from the autonomic nervous system, especially the sympathetic. The several vital functions that are directly affected by the neurotoxins are cardiovascular, respiratory, and neuromuscular systems.

What to Do if Stung by a Scorpion?

When you are bitten by a scorpion, clean the area bitten by the scorpion to avoid it from spreading further.

  • First, clean the skin using soap and water to remove the sting. The next step is to prevent the poison.

  • Place the ice cubes in a cotton towel or cloth indirectly on the bitten area. This will prevent the poison from spreading.

  • Avoid applying any other liquids on the area bitten by a scorpion as it may increase the risk of spreading to other body parts.

How to Diagnose a Scorpion Sting?

The doctor or the healthcare provider will ask about your history and symptoms to make the diagnosis. But if you have severe symptoms, you may be asked to take a blood test or imaging tests to see the effects of the venom in the heart, lungs, liver, and kidneys.

How to Get Rid of Symptoms of Scorpion Sting?

Scorpion sting is not a severe condition, but it can be fatal if left untreated. The majority of cases of scorpion stings do not require treatment but, the more intense signs may need supportive care in a hospital. Besides bed rest, the medicine may include intravenous drugs for easing pain and agitation and controlling high blood pressure, and sedatives for treating muscle spasms.

Immunotherapy is the only etiological treatment. Administered early, it prevents many complications and improves the outcome. New scorpion antivenom (highly purified immunoglobulin fragments) may be given to children to prevent the development of symptoms, which has excellent safety and efficacy. The adverse reactions to antivenoms are infrequent and usually mild. Based on the local resources and constraints, a combination of both immunotherapy and symptomatic approaches should be considered

What Are the Medications to Relieve Symptoms of Scorpion Sting?

Symptomatic treatment is still necessary to support immunotherapy, especially in cases of delayed arrival at the hospital.

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) like Celecoxib and Indomethacin can relieve pain and reduce swelling and fever.

  • Antivenom will stop all symptoms within a few hours of administration.

  • Anti scorpion venom, which is a freeze-dried monovalent antivenin, can treat sting victims of red scorpions.

The home remedies that can give relief from symptoms are:

  • Ice pack.

  • Basil leaves.

  • Tamarind extract.

  • Frankincense essential oil.

  • Turmeric and sesame oil.

  • Radish poultice.

  • Mint leaves.

  • Mango tree leaf.

  • Fresh garlic.

  • Asafetida powder.

What Will Be the Complication of Scorpion Stings?

Anaphylaxis is a very serious form of allergic reaction that affects several body organs. Like other insect stings, such as wasps and bees, a person will develop only an allergic reaction to a scorpion sting. But sometimes, it might cause even more intense reactions like anaphylaxis, which may put your life at risk. In case of anaphylaxis, the patient should be immediately taken to the nearby hospital.

When to Consult a Physician for a Scorpion Sting?

You should consult a physician if you have symptoms like:

  • Pain and swelling that does not subside even after medication.

  • Anaphylactic reactions.

  • Sting in the face or near the eyes.

  • Children stung by a scorpion.

How to Prevent Scorpion Sting?

The best and the indirect way of preventing scorpion sting is by staying away from scorpions or where they live.

  • Inspect clothing, shoes, boots, and gloves that you were not using for a while.

  • Do not store piles of stones or woods near your house or garden.

  • While staying in places where scorpions can live, be careful while using any items like boots, clothing, or bedding.

  • Scorpions can even live in tree branches and bushes, so use full sleeve clothing while walking around them.

Conclusion:

When stung by a scorpion, it is always advisable to consult a health care provider, even if you have only minor signs.

Frequently Asked Questions

1.

What Impact Does Scorpion Venom Have on the Body?

Scorpion venom is harmful to the human body because it contains a powerful protein known as chlorotoxin. Though the protein has only 36 amino acids, it can trigger a release of neurotransmitters and cause the following effects on the body:
- Sweating.
- Vomiting.
- Nausea.
- Restlessness.
- Hyposalivation.
- Heart failure.
- Unconsciousness.
- Arrhythmia.

2.

What Happens if a Scorpion Bites a Person?

When a scorpion bites a person, he experiences intense and extreme pain followed by swelling and redness within five minutes. If not treated immediately, the symptoms worsen within an hour. A blister might develop within eight hours of being bitten. The patient might develop an ulcer if the blister breaks down.

3.

How Long Does a Patient Experience the Symptoms of a Scorpion Sting?

Scorpion stings can cause pain but are usually harmless if treated at the right time. Most symptoms exacerbate within 24 hours, but they usually subside in 48 hours. The doctor usually monitors the patient for that time to prevent complications.

4.

Can Onion Be Used to Cure Scorpion Bites?

Onions have great anti-inflammatory properties, but there are no pieces of evidence to support this fact. However, they can reduce the inflammation to a certain extent but cannot cure the sting caused by a venomous scorpion. However, they can be used to reduce the inflammation caused by wasps or bee stings.

5.

Can a Person Sleep After a Scorpion Bite?

Scorpion stings are painful most of the time. Hence, the pain might urge the patient to sleep for a while. However, the patient needs to ensure that he must not take any medications that induce sleepiness or cause sedation.

6.

Can a Scorpion Sting Damage the Nerves?

The symptoms experienced by a patient depend on the type of scorpion he has been bitten by. Though it can trigger stroke and neuromuscular activation syndromes, the chances of neurological complications are extremely rare and uncommon in adults. However, the sting can have potential cardiotoxic effects leading to cardiovascular collapse.

7.

How Can One Know if the Scorpion Is Poisonous?

Several different species of scorpions exist throughout the world. Therefore, it is difficult to decipher which one is poisonous. However, the thumb rule that helps identify the poisonous scorpion is that the ones with a thick tail and small pincers are the most venomous.

8.

What Attracts Scorpions?

Normally, scorpions like to stay in dark environments. Thirsty scorpions only prefer moisture. However, they get easily attracted to small insects and flies, their significant food sources. In addition, to prevent scorpions from getting into homes, one needs to ensure that the house is free from insects, dust, and debris.

9.

Can a Person Die to Scocpion Bite?

Scorpions belong to the class of insects known to be the most venomous species. Studies report that 30 species out of 1500 are venomous enough to cause the death of people across the world. In addition, deaths due to scorpion bites occur more in areas with limited medical accessibility.

10.

Can a Scorpion Sting Paralyze One?

A scorpion’s tail is poisonous and can cause paralysis in humans. Specifically, the tail of a deathstalker’s scorpion can cause paralysis. As a result, the patient might find it difficult to change his position or lose sensation in a particular part of the body.

11.

Can a Person Have Diabetes Due to a Scorpion Bite?

Scorpion stings are not only painful but also life-threatening because they induce a phenomenon known as an autonomic storm. As a result, numerous catecholamines, glucagon, and cortisol are released, resulting in a change in insulin secretion. Hence, insulin levels either increase or decrease after a scorpion bite.

12.

Can Scoprion Sting Cause Pancreatitis?

Pancreatitis or pancreatic inflammation is one of the rare complications of scorpion sting. The most significant pathogenesis behind pancreatitis is the cholinergic discharge induced by scorpion venom and a powerful impact on the autonomic nervous system.

13.

Is Scorpion Sting Serious?

Scorpion sting is usually harmless, and the symptoms resolve within 24 to 48 hours. However, the most severe form of allergic reaction that can occur due to a scorpion sting includes anaphylaxis. It is a life-threatening condition that affects multiple body organs. Therefore, a patient with anaphylaxis needs to be hospitalized at the earliest.
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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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