Copyright
©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2026; 14(2): 114762
Published online Jan 16, 2026. doi: 10.12998/wjcc.v14.i2.114762
Published online Jan 16, 2026. doi: 10.12998/wjcc.v14.i2.114762
Successful management of third-trimester scorpion envenomation (Parabuthus maximus) in a resource-limited setting: A case report
Felix Pius Omullo, Department of Medical Services, Equity Afya Limited, Lodwar 399-30500, Turkana, Kenya
Author contributions: Omullo FP managed the patient, collected the data, analyzed the clinical information, and wrote the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All author declares no conflicts of interest related to this case report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Felix Pius Omullo, MD, MBChB, Senior Researcher, Department of Medical Services, Equity Afya Limited, Kanaamkemer, Lodwar 399-30500, Turkana, Kenya. piuskirasia@gmail.com
Received: September 28, 2025
Revised: November 11, 2025
Accepted: December 24, 2025
Published online: January 16, 2026
Processing time: 110 Days and 17.5 Hours
Revised: November 11, 2025
Accepted: December 24, 2025
Published online: January 16, 2026
Processing time: 110 Days and 17.5 Hours
Core Tip
Core Tip: Scorpion envenomation in pregnancy triggers a dangerous autonomic storm threatening both mother and fetus. We present a successful case of a multigravida at 36 weeks who developed maternal hypertension/tachycardia and fetal tachycardia after a sting by Parabuthus maximus. This case highlights three critical lessons: (1) Scorpion stings are an obstetric emergency requiring immediate fetal monitoring; (2) Early administration of antivenom is a safe and effective definitive treatment in the third trimester and rapidly reverses both maternal and fetal distress; and (3) A coordinated response between obstetrics, toxicology, and critical care is essential to prevent catastrophic outcomes like placental abruption or fetal demise.