“…1 Neurotoxins contained in the venom derive their potency from activating voltage-gated sodium channels and inhibiting potassium channels, leading to a prolonged depolarization of excitable cells in the peripheral nervous system with subsequent neurotransmitter release. 2,5 Scorpion stings present a wide spectrum of clinical presentations, ranging from pain at the inoculation site, a burning sensation, and radiation to the rest of the affected limb, and generally are not associated with local signs of inflammation. Systemic clinical manifestations usually start with a cholinergic phase (abdominal pain, vomiting, sialorrhea, bronchorrhea, sinus bradycardia, miosis, and increased levels of amylase and glucose), which can be followed (or not) by an adrenergic phase (piloerection, mucocutaneous pallor, hypertension, sinus tachycardia, cardiac arrhythmias, acute lung injury, and cardiogenic shock).…”