An important exception to this is the so-called. Cowhide scorpion (Centruroides sculpturatus, also known as C. exilicauda) represents, which is native to Arizona, New Mexico and on the California side of the Colorado. In this species is a more poisonous scorpion in contrast to the other occurring in North America scorpions can cause serious injuries and illnesses.
Although all North American scorpions sting, most scorpion stings run completely harmless. Usually they only result in local pain, low swelling and lymphangitis easier, in the regional lymph nodes are involved. Further, an increased skin temperature and tenderness found in the wound area. An important exception to this is the so-called. Cowhide scorpion (Centruroides sculpturatus, also known as C. exilicauda) represents, which is native to Arizona, New Mexico and on the California side of the Colorado. In this species is a more poisonous scorpion in contrast to the other occurring in North America scorpions can cause serious injuries and illnesses. Initial symptoms include immediate onset of pain and sometimes numbness or tingling in the affected area. Swelling usually occurs not on, and there are rare lesions. It occurs in young children most often. Restlessness muscle cramps Abnormal and random head, neck and eye movements anxiety, and restlessness Sialorrhea and diaphoresis In adults, tachycardia with high blood pressure and an increase in respiratory rate occurs. Respiratory problems are rare in both age groups. Deaths after the bite of a C. sculpturatus far only in children under 6 years and occurred in hypersensitive persons. Diagnosis Clinical evaluation Diagnosis is often made of the investigation. The scorpion can not be determined from the investigation generally. Because of the history, the diagnosis is usually obvious. Some of the scorpion species, which are offered in pet shops, resemble exotic species that produce dangerous toxins. Which species belong to this strange pets, is often not known, and even if a specific type is specified, this information is often unreliable. Therefore bites should always be potentially dangerous and treated as such by those scorpions, d. H. are observed at least over a longer period. Treatment Supportive treatment antivenin for severe cases in North America, the treatment of non-toxic scorpion bites is symptomatic. An ice pack on the wound and oral NSAIDs help relieve pain. The treatment of a stitch by toxic Centruroides types is in bed rest, the administration of benzodiazepines to the muscle spasm and the intravenous administration of antihypertensive drugs for blood pressure control. The benzodiazepines, which are used against the muscle spasms can also affect the patient’s pain favorable. Patients should take no food in the first 8-12 hours after the bite. For serious bites by scorpions, which are not native to North America, prazosin can prevent pulmonary edema due to extreme high blood pressure, and opioids may be indicated for pain control. An antivenin for scorpions of the kind Centruroides is available in the US and should be given in all patients with severe symptoms and in patients who do not respond to supportive care, especially children. the local Poison Control Centers are aware of the availability and the optimal dose.