World Journal of
Pharmaceutical and Life Sciences

HEMOLYTIC UREMIC SYNDROME FOLLOWING HEMISCORPIUS LEPTURUS SCORPION STING: A CASE REPORT

Kambiz Ghasemi*

ABSTRACT

Introduction: Scorpion sting from Hemiscorpius lepturus (H. lepturus) is a health threat to the inhabitants of the southern provinces of Iran. Here, we present a case of hemolytic uremic syndrome (HUS) following H. lepturus sting in a pediatric patient in Hormozgan province, Iran. Case presentation: A 13-year-old girl presented with scorpion sting to the emergency department. On admission, the patient was agitated and quite lethargic. She reported multiple vomiting episodes and bloody urine. The site of the scorpion sting was non-tender and no erythema was observed. The scorpion brought by the parents was identified as H. lepturus. Laboratory test results revealed anemia, thrombocytopenia, and acute kidney injury, indicating a diagnosis of HUS. She received blood, fresh frozen plasma, and hemodialysis and responded to these treatments. The patient was discharged after 10 days of hospitalization. Conclusions: HUS can be a serious complication in children after H. lepturus sting. Care takers and physicians should be aware of this potential complication and take the necessary measures to diagnose and treat it.

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