Gullu et al reported changes in laboratory markers seen in scorpion envenomation. These can help to identify a patient who may require more aggressive management. The authors are from Kahramanmaras Sutcu Imam University in Turkey.
Severe scorpion envenomation is associated with cardiotoxicity.
Scorpion species in region of study: Buthidae
Laboratory markers of severe scorpion envenomation:
(1) leukocytosis
(2) negative base excess
(3) elevated serum BNP in ng/L on admission (> 200 ng/L in study group)
(4) elevated serum BNP at 12 hours and 24 hours, with later peak possible in severe cardiac involvement
(5) elevated serum CK, on admission and through admission
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