Sir,

I read the recent publication on scorpion envenomation with a great interest [1]. Prasad et al. reported the high rate of shock and concluded that “All patients had perspiration and cold extremities [1].” I would like to share my opinion on this topic. Of interest, the severity in this report by Prasad seems to be higher than those reported in previous publications [2, 3]. If we believe that there was no problem in case assessment in this report and there was no difference in the quality of the treatment, the exact cause of the difference is very interesting. Whether the different findings in different settings are due to the kind of the scorpions, is an interesting question to be answered.