The black widow
| Autor: | Ron Perkin, D. van Stralen, Robin Woestman |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Target lesion
Abdominal pain Pediatrics medicine.medical_specialty Adolescent Spider Venoms Poison control Irritability Asymptomatic Spider Bites Injury prevention medicine Animals Black Widow Spider Humans Child Retrospective Studies Antivenins business.industry Infant Retrospective cohort study General Medicine Abdominal Pain El Niño Child Preschool Hypertension Pediatrics Perinatology and Child Health Emergency Medicine medicine.symptom business |
| Zdroj: | Pediatric Emergency Care. 12:360-364 |
| ISSN: | 0749-5161 |
| DOI: | 10.1097/00006565-199610000-00010 |
| Popis: | Pediatric cases of black widow spider envenomation (BWSE) were reviewed in order to assess the morbidity and mortality in children with BWSE, and to make recommendations for optimal therapy. The methodology includes a retrospective chart review in an urban pediatric tertiary care hospital. Included were all pediatric patients admitted with the BWSE diagnosis in the last 10 years (1984-1994). The results are based on 12 children with ages ranging from 15 months to 18 years. The BWSE syndrome is characterized by several common systemic effects. Our cases revealed abdominal pain (100%), hypertension (92%), muscle complaints (75%), a target lesion (75%), and irritability/agitation (66%) as the most common symptoms. Treatments used included antivenin, calcium gluconate, benzodiazepines, and opioids. Eight of 12 patients recovered (had relief of symptoms) within 24 hours, often by 12 hours. Antivenin did appear to bring quicker relief of symptoms. Hypertension was severe but asymptomatic in all patients. There were no complications or deaths resulting from BWSE. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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