Unconscious Woman in Shock and Covered with Ants Pulled from an Abandoned Automobile
| Autor: | Justin O. Schmidt, Emilio Power, Stephen A. Klotz, Janet Campion, Michael Bernaba, Dietrich Gotzek |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Fire ant
Poison control Zoology 030204 cardiovascular system & hematology Ant venom Red imported fire ant 03 medical and health sciences 0302 clinical medicine Black imported fire ant Animals Humans Medicine 030212 general & internal medicine Envenomation biology Ant Venoms Ants business.industry fungi Arizona food and beverages Shock General Medicine Middle Aged biochemical phenomena metabolism and nutrition biology.organism_classification medicine.disease Sting behavior and behavior mechanisms Consciousness Disorders population characteristics Female business Skin lesion Automobiles |
| Zdroj: | The American Journal of Medicine. 132:1239-1241 |
| ISSN: | 0002-9343 |
| DOI: | 10.1016/j.amjmed.2019.02.053 |
| Popis: | Background A middle-aged woman was taken from an abandoned automobile unconscious and covered with ants in Tucson, Arizona. When hospitalized in July 2018, she had an extensive papular-pustular skin eruption on her abdomen and thigh and disseminated intravascular coagulation. She was stung innumerable times by native golden fire ants (Solenopsis aurea) while sleeping in the vehicle. The large amount of venom injected by stings into this individual may have triggered dissemnated intravascualar coagulation because the venom contains powerful hemolytic factors. Methods The patient history is presented and ants were captured and identified. Results Clinical findings of fire ant stings are presented and the importance of recognizing the distinctive skin lesions that occur is emphasized. Stings of the red imported fire ant, Solenopsis invicta, and the black imported fire ant, Solenopsis richteri, cause skin lesions recognized by physicians and victims alike in the southern and southeastern United States. Native fire ant stings are documented much less often. However, there is significant cross-reactivity among the venoms of Solenopsis species. Conclusion It is important for clinicians to recognize the characteristic skin lesions of fire ant envenomation as fire ant populations are expanding and they sting millions of people each year. |
| Databáze: | OpenAIRE |
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