Beyond Venom and Constriction: Bite Performance and Trophic Ecology in the Genus Drymarchon

  Beyond Venom and Constriction: Bite Performance and Trophic Ecology in the Genus Drymarchon Abstract Snakes exhibit extreme cranial kinesis that facilitates ingestion of prey with large cross-sectional area, but this ability is widely predicted to reduce bite performance due to decreased structural rigidity. Consequently, most large-bodied snakes rely on envenomation or constriction to subdue prey prior to ingestion. Species within the genus Drymarchon represent a notable exception: these large, non-venomous, non-constricting snakes routinely consume a wide range of prey, including large and potentially dangerous vertebrates, using only simple seizing and pinioning behaviors. Here, we quantify bite performance in three species of Drymarchon ( D. corais, D. couperi, and D. melanurus ), examine morphological predictors of biting performance, compare biting pressure to constriction pressure in similarly sized snakes, and synthesize dietary records across the genus. Our results sh...

Rare Clinical Complications Following Scorpion Envenomation Worldwide: A Systematic Review

 


Rare Clinical Complications Following Scorpion Envenomation Worldwide: A Systematic Review

Abstract

Scorpion envenomation is an important public health problem in many tropical and subtropical regions and may result in rare but life-threatening grade III complications involving multiple organ systems. This systematic review synthesizes published articles from 2000 to 2025 that describe uncommon, severe clinical manifestations following scorpion stings. A total of 72 rare clinical complications were identified, encompassing cardiovascular, neurological, respiratory, renal, hematological, ocular, dermatological, and other systemic manifestations. Cardiovascular complications were the most frequently reported, whereas neurological complications exhibited the greatest clinical diversity. Mesobuthus tamulus and Hemiscorpius lepturus were most commonly associated with severe complications, and children younger than 10 years appeared to be at increased risk of serious neurological involvement. These findings highlight the remarkable clinical heterogeneity of grade III scorpion envenomation and emphasize the importance of early recognition, species-specific clinical awareness, and timely management to reduce severe outcomes in endemic regions.
Soltan-Alinejad, P., Moradi-Asl, E., Rezaei, F., & Ghanbari-Jahromi, M. (2026). Rare Clinical Complications Following Scorpion Envenomation Worldwide: A Systematic Review. Toxicon, 109253. https://doi.org/10.1016/j.toxicon.2026.109253