Uzel A-P, Steinmann G, Bertino R, Korsaga A
Service d'orthopédie et traumatologie, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe.
Chir Main. 2009 Oct;28(5):322-5. doi: 10.1016/j.main.2009.05.001. Epub 2009 Jun 21.
Centipede bites occurring in tropical countries are rare, however vigilance must be exercised during activities in the open air and dwellings should be checked in the event of rain. The bite is very painful and can be accompanied by generalised signs. An initial wound disinfection and a check of antitetanus vaccination status is all that is usually needed to ensure an uneventful outcome. There are however, rare cases where local toxicity and a bacterial super-infection, often with Gram+ cocci, can lead to a cellulitis or even necrotizing fasciitis of the hand. The diagnosis of a centipede bite can be made by the double marks made by the fangs. Wound debridement and antibiotics led to a good outcome in both our cases.
在热带国家，蜈蚣咬伤很少见，然而在户外活动时必须保持警惕，下雨时应检查住所。咬伤非常疼痛，可能伴有全身症状。通常只需对伤口进行初步消毒并检查破伤风疫苗接种状况，就能确保预后良好。然而，罕见情况下，局部毒性和细菌超级感染（通常由革兰氏阳性球菌引起）可能导致手部蜂窝织炎甚至坏死性筋膜炎。蜈蚣咬伤的诊断可依据毒牙留下的双重痕迹做出。在我们的两个病例中，伤口清创和使用抗生素均取得了良好效果。
