SynthesisPLoS neglected tropical diseases2023
Scorpion envenomation-associated myocarditis: A systematic review.
Synthesis in PLoS neglected tropical diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 30 citations in OpenAlex.
- Article
- Investigation of clinical and paraclinical manifestations of envenomation victims referred to the Poisoning Department of Imam Reza Hospital, Mashhad (Iran) from 2019 to 2020.Tropical diseases, travel medicine and vaccines · 2026Article
- Protective effect ofToxicon: X · 2026Article
- The correlation between Interleukin 1 β (IL-1β) as an inflammatory marker and Malondialdehyde (MDA) as a lipid peroxidation marker and the development of cardiac and pancreatic complications in humans suspected to scorpion poisoning.BMC pharmacology & toxicology · 2025Article
- From sting to pacemaker: a case of complete heart block following yellow scorpion envenomation-a case report.Journal of medical case reports · 2025Article
- Cardiogenic shock requiring VA-ECMO therapy in scorpionism-induced myocarditis.ESC heart failure · 2025Article
- Neurotoxic effects of scorpion envenomation, a video of nystagmus, dysmetria, and tongue fasciculations: a case report.Journal of medical case reports · 2025Article
- Life threatening scorpion sting on adult complicated by: acute toxic myocarditis, cardiogenic shock, pulmonary edema, acute kidney injury and toxic hepatitis: a case report.Journal of medical case reports · 2025Article
- Scorpion Stings: Epidemiological, Clinical, and Forensic Medical Evaluation Using University Hospital Data.Revista da Sociedade Brasileira de Medicina Tropical · 2025Article
- Myocardial Ischemia after Severe Scorpion Envenomation: A Narrative Review.The American journal of tropical medicine and hygiene · 2024Review
- Severity of scorpion envenomation in Saudi Arabia: A systematic review.Toxicology reports · 2024Review
- Article
- Takotsubo cardiomyopathy following scorpion envenomation: a literature review.American journal of cardiovascular disease · 2023Review
- Scorpion-Induced Acute Coronary Syndrome: A Stinging Complication.Journal of investigative medicine high impact case reportsArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundScorpion envenomation is associated with several complications. One of the most serious complications is the cardiac involvement in the form of myocarditis that remains the main reason for mortalities associated with scorpion envenomation. The present review aims to elucidate clinical and paraclinical findings associated with scorpion-related myocarditis, and to explore different management strategies and subsequent outcomes.
methodsWe searched PubMed, Web of Science, Scopus, and Google Scholar for articles related to keywords of myocarditis associated with scorpion envenomation up to May 1, 2022. Each article was carefully reviewed by two independent researchers. In case of disagreement for inclusion, we sought a third researcher opinion.
resultsA total of 703 cases from 30 case reports and 34 case series were included in our review. Myocarditis associated with scorpion envenomation was usually reported in children presenting with cardiopulmonary symptoms including pulmonary edema (60.7%) and shock or hypotension (45.8%). The most common ECG findings are sinus tachycardia (82%) followed by ST-T changes (64.6%). The management typically included inotropes (especially dobutamine), prazosin, diuretics, nitroglycerine and digoxin, when indicated. Mechanical ventilation was required in 36.7% of the patients. Mortality in confirmed scorpion-related myocarditis cases is estimated at 7.3%. Almost all survived cases showed rapid recovery and improvement in the left ventricular function.
conclusionEven though myocarditis associated with scorpion envenomation is rare, it remains a serious and in some of cases a fatal consequence of scorpion sting. In case of relative presentations, particularly in envenomed children, diagnosis of myocarditis should be considered. Early screening using serial cardiac markers and echocardiography can guide the treatment. Prompt treatment that focuses on cardiogenic shock and pulmonary edema usually results in a favorable outcome.
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