Methamphetamine Ingestion Misdiagnosed as Centruroides sculpturatus Envenomation.

Case Rep Emerg Med

Arizona Poison & Drug Information Center (APDIC), University of Arizona College of Pharmacy, Tucson, AZ 85721, USA ; Arizona Emergency Medicine Research Center, University of Arizona College of Medicine, Tucson, AZ 85721, USA.

Published: February 2015

The authors present a case report of a 17-month-old female child who ingested a large amount of methamphetamine that looked very similar clinically to a scorpion envenomation specific to the southwestern United States by the species Centruroides sculpturatus. The child was initially treated with 3 vials of antivenom specific for that scorpion species and showed a transient, though clinically relevant neurologic improvement. Her clinical course of sympathomimetic toxicity resumed and she was treated with intravenous fluids and benzodiazepines after blood analysis showed significant levels of d-methamphetamine. This case report is to specifically underline the clinical confusion in discerning between these two conditions and the realization of limited and/or expensive resources that may be used in the process.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310225PMC
http://dx.doi.org/10.1155/2015/320574DOI Listing

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