{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T10:54:43Z","timestamp":1771930483803,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,15]]},"abstract":"<jats:p>We report a 54-year-old woman with scorpion bite. After 3\u2009hours of admission, the patient developed sudden onset tachycardia with hypotension. Cardiac evaluation showed raised creatine kinase MB isoenzyme was elevated; ECG and two-dimensional echocardiography findings were suggestive of myocarditis. Subsequently, she developed transient ventricular tachycardia before developing abrupt onset, right hemiplegia, global aphasia and progressive worsening of sensorium 12\u2009hours after the bite. MRI of brain revealed massive left middle cerebral artery (MCA) territory infarct. The magnetic resonance angiography showed non-visualisation of left internal carotid artery (ICA) and MCA. Coagulation parameters were normal. Sudden complete occlusion of left ICA was probably secondary to cardioembolic phenomenon leading to massive infarct. Despite aggressive medical and supportive measures, she clinically worsened rapidly to Glasgow Coma Scale of 3\/15 over next 6\u2009hours and succumbed to her illness the next day.<\/jats:p>","DOI":"10.1136\/bcr-2017-221606","type":"journal-article","created":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T01:25:23Z","timestamp":1507771523000},"page":"bcr-2017-221606","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Scorpion bite-induced ischaemic stroke"],"prefix":"10.1136","volume":"2017","author":[{"given":"Rakesh","family":"Reddy C","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Aditya Hospital, Warangal, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nandakishore","family":"Bompelli","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Aditya Hospital, Warangal, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikram","family":"Khardenavis","sequence":"additional","affiliation":[{"name":"Department of Medicine, Miraj Medical College, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anirudda","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vinayaka Neuro Multispecialty Clinic, Warangal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,11]]},"reference":[{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.1","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/B978-0-444-53490-3.00028-5","article-title":"Neurological effects of venomous bites and stings: snakes, spiders, and scorpions","volume":"114","author":"Del Brutto","year":"2013","journal-title":"Handb Clin Neurol"},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.2","first-page":"371","article-title":"Histamine, 5-HT & hyaluronidase in the venom of the scorpion Lychas laevifrons (Pock)","volume":"92","author":"Basu","year":"1990","journal-title":"Indian J Med Res"},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2013.07.012"},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.4","unstructured":"Ellenhorn MJ , Schonwald S , Ordog G , et al . Ellenhorn\u2019s medical toxicology. In: Diagnosis and treatment of human poisoning. Baltimore: Williams and Wilkins, 1997:1738. Natural toxins."},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-003-2082-7"},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.6","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.68.11.478"},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(80)90166-6"},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.8","first-page":"100","article-title":"Scorpion bite and multiple cerebral infarcts","volume":"50","author":"Thacker","year":"2002","journal-title":"Neurol India"},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.9","doi-asserted-by":"crossref","first-page":"202","DOI":"10.4103\/1755-6783.150114","article-title":"Stroke as a rare consequence of scorpion sting and scorpion ingestion: a case report from South East Nigeria","volume":"7","author":"Eze","year":"2014","journal-title":"Annals of Tropical Medicine and Public Health"},{"key":"2025082623421611000_2017.oct11_1.bcr-2017-221606.10","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1056\/NEJMra1401108","article-title":"Scorpion Envenomation","volume":"371","author":"Isbister","year":"2014","journal-title":"N Engl J Med Overseas Ed"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221606","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:42:23Z","timestamp":1756276943000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221606"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,11]]},"references-count":10,"alternative-id":["10.1136\/bcr-2017-221606"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221606","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,11]]}}}