Case history/examination
A 4 year child presented to our emergency department with features of
vomiting, abdominal pain, and decreased sensorium following a complaint
of pain and noticeable swelling in the right great toe. After a sleep of
approximately 10 hours, the child woke up in the morning complaining of
severe pain in the right lower extremity. The mother of the child
noticed swelling in the right great toe, and one of the family members
noticed the scorpion on the floor of the room. They envisioned that the
child was stung by the arthropod and rushed to our hospital emergency
room.
The child presented to our emergency with features consistent with
history. On arrival, the child was febrile, with a temperature of 100.8
degrees Fahrenheit, heart rate of 140/minute and blood pressure of
125/87 mm Hg. Thorough evaluation revealed that the child was drowsy
with Glasgow Coma Scale (GCS) of 12 (E3V3M6) and was unable to move
right extremity while giving a command and poking with painful stimuli.
Deep tendon reflexes and tone were increased in right upper and lower
extremities.