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Insect bites are one of the common causes of emergency service admissions. Scorpion bites are 3-4% of these cases. Allergic reactions, anaphylaxis and death can be seen due to scorpion bites. In this presentation, we wanted to share a patient who had an anaphylaxis and myocarditis after scorpion bite.

Case

A 52 year old male admitted to ED with swelling and redness in the left forearm due to scorpion bite. Tourniquet and pheniramine maleate 45,5 mg (Avil® 45.5 mg/2 ml, Sandoz) IV were applied. He experienced severe chest pain for 15-20 minutes and had syncope. Confused patients vital signs were as vital signs were TA: 80/35 mmHg, HR: 144 beat/min, and SpO2: 96% (with O2). ST depressions were observed in V4-V6 derivations in EKG (Figure 1). Oropharyngeal airway, O2 therapy, epinephrine 0,1 milligram (0,1 mL of the 1:1000 dilution) with 10 mL normal saline (NS) IV were performed for anaphylaxis.

Her other biochemical tests were in normal ranges except Troponin: 1,1 and CK-MB: 94. His chest pain continued decreasingly. He was hospitalized to Coronary ICU, his coronary angiography was in normal ranges. Nonsteroidal anti-inflammatory drug and amoxicillin-clavulanate were added to treatment for myocarditis. He was discharged with full recovery after 6 days.