Suspected Microvascular Occlusion Syndrome Following Scorpion Envenomation: A Pediatric Case Report

Scorpion envenomation can cause severe local and systemic complications, including microthrombosis and microvascular occlusion (MVO), which may contribute to tissue ischemia and organ dysfunction. This report describes a pediatric patient who developed progressive edema, ecchymosis, and severe pain after a scorpion sting, despite standard treatment with antivenom, corticosteroids, and analgesics. Persistent symptoms raised concern for possible vascular complications, including localized microthrombosis potentially resulting from venom‐induced endothelial injury, platelet activation, and inflammatory cytokine release. Imaging and clinical findings ruled out compartment syndrome but suggested MVO as a possible mechanism underlying the patient’s worsening condition. This case highlights the importance of early recognition and management of microvascular complications in scorpion envenomation and emphasizes the potential role of anticoagulation and vascular monitoring in selected severe cases.