The Hidden Sting: A Case of Atypical Scorpion Envenomation in Saudi Arabia

Abstract: Background: Scorpion stings are frequent medical emergencies in the Middle East, often presenting with autonomic dysfunction and cardiovascular complications. However, some cases mimic unrelated conditions, leading to diagnostic confusion and delayed intervention. Case Presentation: A 42-year-old presented with severe abdominal pain, hypertensive crisis, and tachycardia, initially raising concerns for acute abdomen, hypertensive emergency, or myocardial infarction. A hidden sting site on the patient’s foot was later discovered, revealing an underlying scorpion sting-induced autonomic storm. Prompt treatment with scorpion antivenom, prazosin, and supportive care led to full recovery within 48 hours. Conclusion: This case underscores the diagnostic challenges posed by atypical scorpion envenomation and the importance of a meticulous physical examination. Emergency physicians must maintain a high index of suspicion in endemic regions to ensure timely diagnosis and treatment. Keywords: Scorpion envenomation, Androctonus crassicauda, abdominal pain, autonomic storm, Saudi Arabia, prazosin. Title: The Hidden Sting: A Case of Atypical Scorpion Envenomation in Saudi Arabia Author: Dr. Amr aboutaleb, Dr. Montasir elmobark, Dr. Talal Elomari International Journal of Novel Research in Healthcare and Nursing ISSN 2394-7330 Vol. 12, Issue 1, January 2025 - April 2025 Page No: 164-166 Novelty Journals Website: www.noveltyjournals.com Published Date: 13-March-2025 DOI: https://doi.org/10.5281/zenodo.15016154 Paper Download Link (Source) https://www.noveltyjournals.com/upload/paper/The%20Hidden%20Sting%20A%20Case%20of%20Atypical-13032025-1.pdf