Scorpion sting in Hafizabad, Pakistan: Facility based epidemiological study

Toxicon. 2024 Feb 1:238:107567. doi: 10.1016/j.toxicon.2023.107567. Epub 2023 Dec 16.

Abstract

Scorpion envenomation is a widespread issue in tropical and subtropical countries. In the present study epidemiology of scorpion sting cases and potential treatment options in district Hafizabad, Pakistan are documented. Hafizabad city and the adjacent villages were selected for the data collection. Age, gender, time, site of scorpion sting on the body, scorpion sting symptoms, number of patients obtaining medical attention and the number of fatalities (if any) were noted. Data showed that scorpion envenomation often occurs in people between the ages of 16-47 years. There were more female victims (55%) and most of the scorpion sting incidences (55.49%) occurred between 07 PM and 02 AM Among body parts, both the hands (41.71%) and feet (48.57%) were more vulnerable to scorpion stings. In rural areas, the incidences of scorpion stings were higher (68.57%). The reported symptoms of scorpion stings include pain, hypertension, nausea and allergy. Out of all the victims, only 56.05% sought treatment from health care units as well as traditional medicine practitioners. However, others (43.94%) fully healed on their own without any treatment. People were using different types of plant-based materials and dead scorpions with mustard oil as a potent remedy against scorpion stings. Moreover, in the health care units there was no antivenom available and medical staff usually used common pain killers such as Xylocain and Lignocain for the treatment of scorpion sting.

Keywords: Envenomation; Epidemiology; Scorpion sting; Scorpionism; Traditional medicine.

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Antivenins
  • Humans
  • Middle Aged
  • Pain / complications
  • Pakistan / epidemiology
  • Scorpion Stings* / epidemiology
  • Scorpion Stings* / therapy
  • Scorpions
  • Young Adult

Substances

  • Antivenins