Excessive perspiration in Parabuthus transvaalicus cases. Headaches, nausea, vomiting and diarrhea. Ptosis, patient has droopy eyelids. Restlessness and anxiety is a prominent feature seen in children with Parabuthus granulatus . Hyperactivity and infants crying for unexplained reason.
Respiratory distress is a major complication and can result in death.
Monitor cardiac and respiratory functions and treat as required. Patient with systemic symptoms, especially children and the elderly must be hospitalized for 24 to 48 hours. Immobilize and clean wound. Antivenom must only be administered in the case of severe systemic envenomation. Antihistamine and steroids only to be administered in cases of allergic reaction to antivenom.