Suspected Microvascular Occlusion Syndrome Following Scorpion Envenomation: A Pediatric Case Report
- 1Department of Pediatrics Isfahan University of Medical Sciences Isfahan Iran mui.ac.ir
- 2Skin Diseases and Leishmaniasis Research Center Isfahan University of Medical Sciences Isfahan Iran mui.ac.ir
Abstract
Scorpion envenomation can cause severe local and systemic complications, including microthrombosis and microvascular occlusion (MVO), which may contribute to tissue ischemia and organ dysfunction. This report describes a pediatric patient who developed progressive edema, ecchymosis, and severe pain after a scorpion sting, despite standard treatment with antivenom, corticosteroids, and analgesics. Persistent symptoms raised concern for possible vascular complications, including localized microthrombosis potentially resulting from venom‐induced endothelial injury, platelet activation, and inflammatory cytokine release. Imaging and clinical findings ruled out compartment syndrome but suggested MVO as a possible mechanism underlying the patient’s worsening condition. This case highlights the importance of early recognition and management of microvascular complications in scorpion envenomation and emphasizes the potential role of anticoagulation and vascular monitoring in selected severe cases.
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BibTeX
@article{saleh2026suspected,
title = {{Suspected Microvascular Occlusion Syndrome Following Scorpion Envenomation: A Pediatric Case Report}},
author = {Rana Sadat Saleh and Fateme Jadidi and Reyhane Mohsenifard and Sadra Saleh and Bahare Abtahi},
journal = {Case Reports in Pediatrics},
year = {2026},
month = nov,
doi = {10.1155/crpe/3601171},
url = {https://doi.org/10.1155/crpe/3601171},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Suspected Microvascular Occlusion Syndrome Following Scorpion Envenomation: A Pediatric Case Report
AU - Rana Sadat Saleh
AU - Fateme Jadidi
AU - Reyhane Mohsenifard
AU - Sadra Saleh
AU - Bahare Abtahi
PY - 2026
DA - 2026/11/02
JO - Case Reports in Pediatrics
DO - 10.1155/crpe/3601171
UR - https://doi.org/10.1155/crpe/3601171
AB - Scorpion envenomation can cause severe local and systemic complications, including microthrombosis and microvascular occlusion (MVO), which may contribute to tissue ischemia and organ dysfunction. This report describes a pediatric patient who developed progressive edema, ecchymosis, and severe pain after a scorpion sting, despite standard treatment with antivenom, corticosteroids, and analgesics. Persistent symptoms raised concern for possible vascular complications, including localized microthrombosis potentially resulting from venom‐induced endothelial injury, platelet activation, and inflammatory cytokine release. Imaging and clinical findings ruled out compartment syndrome but suggested MVO as a possible mechanism underlying the patient’s worsening condition. This case highlights the importance of early recognition and management of microvascular complications in scorpion envenomation and emphasizes the potential role of anticoagulation and vascular monitoring in selected severe cases.
SN - 2090-6803
SN - 2090-6811
ER -