The Outcome of 428 Cases of Scorpion Sting Syndrome in Atbara Locality, North Sudan

  • Wadie Mohamed Yasin Elmadhoun MD Path. Associate professor, Department of Pathology Faculty of Medicine and Health Sciences Nile Valley University
  • Elham Nasr Edin Mukhtar MD Pediat. Department of Paediatrics, Consultant paediatrician, Atbara Teaching Hospital – Atbara - Sudan


Objectives: To determine the prevalence and outcome of scorpion sting in Atbara and to give a brief  pathophysiology, clinical aspects, and management options.

Methods : This is a retrospective study conducted at Atbara Teaching Hospital, Sudan, to look into the records of 428 scorpion envenomation  cases  in five years period from (2005-2009). 

Results: Males constituted 51.2%, children below 15 were 37.2%, the overall death rate was 4.7% (n=20) and all of them were children. Most cases (88.4%) presented during the hot season.

Conclusion: Scorpion sting is a life-threatening condition in children in Atbara, a better understanding of the condition and a proper management protocol may save lives.


1. Bosnak M, Levent Yilmaz H, Ece A, Yildizdas D, Yolbas I, Kocamaz H, et al. Severe scorpion envenomation in children: management in pediatric intensive care unit. Hum Exp Toxicol 2009 Nov;28(11):721-8.
2. Al-Asmari AK, Al-Saif AA. Scorpion sting syndrome in a general hospital in Saudi Arabia. Saudi Med J 2004;25(1):64-70.
3. Valavi E,Alemzadeh Ansari MJ. Hemolytic uremic syndrome following
Hemiscorpius lepturus (scorpion) sting. Indian J Nephrol. 2008 Oct ;18(4):166–168.
4. Elisabeth F Schwartz,Elia Diego-Garcia, Ricardo C Rodríguez de la Vega, Lourival D Possani. Transcriptome analysis of the venom gland of the Mexican scorpion Hadrurus gertschi (Arachnida: Scorpiones). BMC Genomics 2007 May;8:119.
5. Jungo F, Bairoch A. Tox-Prot, the toxin protein annotation program of the SwissProt protein knowledgebase. Toxicon. 2005;45:293–301.
6. Tan PT, Veeramani A, Srinivasan KN, Ranganathan S, Brusic V. SCORPION2: a database for structure-function analysis of scorpion toxins. Toxicon. 2006;47:356– 363.
7. Possani LD, Rodríguez de la Vega RC. Scorpion venom peptides. In: Kastin AJ, editor. Handbook of Biologically Active Peptides. San Diego, Academic Press; 2006. p. 339–54.
8. Kochar DK, Singh P, Sharma BV, Saini G, Aggarwal P, Gauri LA. Scorpion envenomation causing hemiparesis. J Assoc Physic India. 2002;50:606–7.
9. . Meki AAM, Mohamed ZMM, Mohey El-deen HM. Significance of assessment of serum cardiac troponin I and interleukin-8 in scorpion envenomed children. Toxicon 2003;41:129-37.
10. Fukuhara YDM, Reis ML, Dellalibera-Joviliano R, Cunha FQC, Donadi EA. Increased plasma levels of IL-1, IL-6, IL-8, IL-10, and TNF-a in patients moderately or severely envenomed by Tityus serrulatus scorpion sting. Toxicon 2003;41:49-55.
11. Bosnak M, Ece A, Yolbas I, Bosnak V, Kaplan M, Gurkan F. Scorpion sting envenomation in children in southeast Turkey. Wilderness Environ Med 2009 Summer;20(2):118-24.
12. Bouaziz M, Bahloul M, Kallel H, Samet M, Ksibi H, Dammak H, et al.
Epidemiological, clinical characteristics and outcome of severe scorpion
envenomation in south Tunisia: multivariate analysis of 951 cases. Toxicon 2008 Dec 15;52(8):918-26.
13. Gadwalker SR, Bushman S, Pramond K, Gouda C, Kumar PM. Bilateral cerebellar infarction: A rare complication of scorpion sting. J Assoc Physicians India. 2006;54:581–3.
14. Suman Sarkar, Prithwis Bhattacharya, and Anil Paswan. Cerebrovascular manifestations and alteration of coagulation profile in scorpion sting: A case series. Indian J Crit Care Med. 2008 Jan–Mar; 12(1):15–7.
15. Bahloul M, Ben Hamida M, Belhoul W, Ksibi H, Kallel H, Ben Hamida C, et al. Hemolytic-uremic syndrome secondary to scorpion envenomation (apropos of 2 cases). Nephroloqie. 2004;25:49–51.
16. Thacker AK, Lal R, Misra M. Scorpion bite and multiple cerebral infarcts. Neurol India. 2002;50:100-2.
17. Pipelzadeh MH, Jalali A, Taraz M, Pourabbas R, Zaremirakabadi A. An epidemiological and a clinical study on scorpionism by the Iranian scorpion Hemiscorpius lepturus. Toxicon 2007;50:984–92.
18. Pipelzadeh MH, Dezfulian AR, Jalali MT, Mansouri AK. In vitro and in vivo studies on some toxic effects of the venom from Hemiscorpious lepturus scorpion. Toxicon 2006;48:93–103.
19. Bencheikh RS, Khattabi A, Faraj Z, Semlali I. Management of scorpion sting in Morocco. Ann Fr Anesth Reanim 2008 Apr;27(4):317-22.
20. Al-Asmari AK, Al-Seif AA, Hassan MA, Abdumaksood NA. Role of prazosin on cardiovascular manifestations and pulmonary edema following severe scorpion sting in Saudi Arabia. Saudi Med J 2008;29(2):299-302.
21. Bawaskar HS, Bawaskar PH. Utility of scorpion antivenin vs prazosin in the management of severe Mesobuths tamulus (Indian red scorpion) envenoming at rural setting. J Assoc Physicians India 2007 Jan;55:14-21.
How to Cite
ELMADHOUN, Wadie Mohamed Yasin; MUKHTAR, Elham Nasr Edin. The Outcome of 428 Cases of Scorpion Sting Syndrome in Atbara Locality, North Sudan. Gezira Journal of Health Sciences, [S.l.], v. 10, n. 1, june 2014. ISSN 1810-5386. Available at: <>. Date accessed: 28 nov. 2020.