Convulsions following a black scorpion (Buthus judaicus) sting

Scorpion stings are frequent in Israel and cause quite a high rate of mortality and morbidity, particularly among children. There is a general conception that a sting of the yellow scorpion (Leiurus quinquestriatus) is dangerous, whereas 'black' scorpion stings are not. This concept does not take into consideration the fact that the different species of scorpions use their poison as an effective and even fatal means of attack against small animals. We have recently encountered an infant who had generalized convulsions following stings by the black scorpion Buthus judaicus. The patient was treated with i.v. diazepam, which stopped the convulsions, and an i.v. injection of 1 ml of scorpion antiserum (to Leiurus quinquestriatus).