DIAGNOSIS AND TREATMENT

Level of envenomations

Grade 1: Slight

Symptoms and signs

-Pain at the sting site

-Local paresthesia

-Nasal drip

Age Group:  Any age

Recomended Treatment: 1 dose Alacramyn intravenous (i.v.).

Grade 2: Moderate

Symptoms and signs

-Those of the Slight syndrome plus:

-Sialorrhea (drooling or excessive salivation),

-General paresthesia (numbness or tingling),

-Gastric hyperdistension,

-Lingual fasciculations (abnormal movements of the tongue),

-Disnea,

-Back pain.

Recommended Treatment: Under 15 years old 2 doses Alacramyn i.v.

Older than 15, 1 dose Alacramyn i.v.

Grade 3: Severe

Symptoms and signs:

-Those of Moderate syndrome plus:

-Sensation of “thick-tongue”, difficulty swallowing,

-Nystagmus (twitching of the eyes),

-Emprosthotonic and opisthitonic spasms (convulsions),

-Vomit (throwing up),

-Ataxic walking (uncoordinated, dizzy),

-Temporary blindness,

-Hypertension (high blood pressure),

-Priapism (penile erection) in males, vaginal discomfort in females,

-Pulmonary edema,

-Cardiac failure.

Recommended Treatment: Under 15 years old 3 doses Alacramyn i.v.

Older than 15, 2 doses Alacramyn i.v.

Source: IPP Alacramyn® REG. No. 093300203A3272 SSA, Mexico