Mesobuhus Tamulus (An Indian red scorpion) flourished allover coastal region of India. Its venom is neuronal sodium channels activators. Envenoming by red scorpion evokes autonomic storm. Severe cardiovascular manifestations occurred as a result of high circulating catecholamines. We report a case of severe scorpion envenoming who suffered of autonomic storm and subsequent acute inferior wall myocardial infarction, lethal ventricular arrhythmias. He recovered with intravenous scorpion antivenin, oral prazosin and intravenous bolus of 30 mg tenectiplase.
Key words: Scorpion, scorpion antivenom, prazosin, myocardial infarction.