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Volume 361:631-632 August 6, 2009 Number 6
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Antivenom for Children with Neurotoxicity from Scorpion Stings

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by Boyer, L. V.
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To the Editor: Boyer et al. (May 14 issue)1 report that among children with neurotoxic effects of scorpion envenomation, scorpion-specific F(ab')2 antivenom resolved the clinical syndrome within 4 hours. In 1999, we published the results of a negative randomized, controlled trial of antivenom in patients with scorpion envenomation in southern Tunisia.2 Although neurotoxic effects are reported in up to 78% of patients with venomous scorpion stings in North Africa, we assessed the efficacy of scorpion antivenom on objective end points such as a change in severity grade.3 The 100% rate of resolution of neurotoxic symptoms with scorpion-specific antivenom in the . . . [Full Text of this Article]



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