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Epidemiologic and clinical survey of victims of centipede stings admitted to Hospital Vital Brazil (São Paulo, Brazil)
Ist Teil von
Toxicon (Oxford), 2008-10, Vol.52 (5), p.606-610
Ort / Verlag
Kidlington: Elsevier Ltd
Erscheinungsjahr
2008
Quelle
Access via ScienceDirect (Elsevier)
Beschreibungen/Notizen
We retrospectively analyzed 98 proven cases of centipede stings admitted to Hospital Vital Brazil, Butantan Institute, São Paulo, Brazil, between 1990 and 2007. Most stings occurred at the metropolitan area of São Paulo city (
n
=
94, 95.9%), in the domiciles of patients (
n
=
67, 68.4%), and during the warm-rainy season (
n
=
60, 61.2%). The mean age of the victims was 32.0
±
18.8-years-old.
Cryptops and
Otostigmus genera were responsible for most cases. Around 86% of the patients sought medical care within 6
h after the sting. Both lower (56.1 %) and upper limbs (41.8 %) were most frequently bitten, especially the feet and hands (89.8%). The most frequent local clinical manifestations were pain (94.9%), erythema (44.9%) and edema (21.4%), and the latter was mainly observed in patients bitten by
Otostigmus spp. Supportive treatment was used in only 28.6% of the patients, namely administration of local anesthesia (9.2%) and systemic analgesia (13.3%). No sequels or complications were observed in patients, and the prognostic was benign.