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Journal of Tropical Pediatrics 1995 41(6):338-340; doi:10.1093/tropej/41.6.338
© 1995 by Oxford University Press
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Cardiac Involvement and Scorpion Envenomation in Children

S. Das, MD, DCH*, P. Nalini, MD DCH*,, Shanti Ananthakrishnan, MD, DCH*, K. R. Sethuraman**, J. Balachander, MD DM*** and S. Srinivasan, MD DCH*

*Departments of Pediatrics Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry 605 006, India
**Departments of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry 605 006, India
***Departments of Cardiology Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry 605 006, India

Dr P. Nalini, Professor of Pediatrics, JIPMER, Pondicherry 605 006, India.

Cardiac complications of 32 children with scorpion envenomation, during a 1-year period from August 1990 to August 1991 were studied. Sixteen children (50 per cent) were diagnosed as having myocarditis; of these in four children the presentation was subclinical. ECG changes were seen in 63 per cent of children envenomed and was a sensitive indicator of myocarditis. Sixty-nine per cent of children with myocarditishad left ventricular dysfunction as shown by echocardiography. Though statistically not significant, there was a correlation between prolonged QTC and LV dysfunction, which needs to be studied further. In those children who came for follow-up, the left ventricular function reversed to normal.


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