Scorpion stings by members of the genus Parabuthus (Buthidae) can lead to life-threatening envenoming. Namibia harbours a rich diversity of scorpions, including seventeen species of the highly venomous genus Parabuthus, although the biology and medical relevance of most species are poorly documented. Severe envenoming is caused by at least P. granulatus, P. villosus, P. kraepelini and P. schlechteri, which are considered to be of particular importance. Data on epidemiology, venom composition and variation, and clinical effects remain scarce. A lack of effective antivenom and long distances to hospitals in rural areas complicate clinical management and compromise patient outcomes.
