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烦躁不安的婴儿与逃逸的红背蜘蛛:一个具有启发性的病例。

An irritable infant and the runaway redback: an instructive case.

作者信息

Ward Thomas R, Falconer James A, Craven John A

机构信息

Canberra Hospital, P.O. Box 11, Woden, ACT 2606, Australia.

出版信息

Case Rep Emerg Med. 2011;2011:125740. doi: 10.1155/2011/125740. Epub 2011 Sep 28.

DOI:10.1155/2011/125740
PMID:23326689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3542937/
Abstract

The envenomation syndrome of Redback spider bites, lactrodectism, is distinctive. However diagnosis can be difficult due to an atypical presentation. We describe the case of a 1 year old boy with irritability, diaphoresis and reduced oral intake, in whom a diagnosis was made of redback spider bite. Successful resolution of symptoms was achieved following treatment with antivenom. The symptoms and management of redback spider bites is discussed.

摘要

红背蜘蛛叮咬所致的中毒综合征,即毒蛛中毒,具有独特性。然而,由于临床表现不典型,诊断可能会很困难。我们描述了一名1岁男孩的病例,该男孩表现为烦躁、多汗和进食减少,最终被诊断为红背蜘蛛叮咬。使用抗蛇毒血清治疗后症状成功缓解。本文讨论了红背蜘蛛叮咬的症状及处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aab8/3542937/23f68a0bb082/CRIM.EM2011-125740.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aab8/3542937/d9ec25fda2c9/CRIM.EM2011-125740.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aab8/3542937/23f68a0bb082/CRIM.EM2011-125740.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aab8/3542937/d9ec25fda2c9/CRIM.EM2011-125740.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aab8/3542937/23f68a0bb082/CRIM.EM2011-125740.002.jpg

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本文引用的文献

1
Spider bites - Assessment and management.蜘蛛咬伤——评估与处理
Aust Fam Physician. 2009 Nov;38(11):862-7.
2
A randomised controlled trial of intramuscular vs. intravenous antivenom for latrodectism--the RAVE study.一项关于肌肉注射与静脉注射抗蛇毒血清治疗红斑蛛咬伤的随机对照试验——RAVE研究
QJM. 2008 Jul;101(7):557-65. doi: 10.1093/qjmed/hcn048. Epub 2008 Apr 8.
3
A double-blind, randomized trial of intravenous versus intramuscular antivenom for red-back spider envenoming.
Emerg Med Australas. 2005 Apr;17(2):152-6. doi: 10.1111/j.1742-6723.2005.00720.x.
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Red-back spider envenomation in children in Central Australia.
Emerg Med (Fremantle). 2003 Apr;15(2):170-5. doi: 10.1046/j.1442-2026.2003.00435.x.
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Redback spider is now established in Japan: bites can be recognised by a unique sign.赤背蜘蛛现已在日本定殖:咬伤可通过一种独特迹象识别。
BMJ. 1997 May 17;314(7092):1484. doi: 10.1136/bmj.314.7092.1484a.
6
Survey of 2144 cases of red-back spider bites: Australia and New Zealand, 1963--1976.
Med J Aust. 1978 Dec 30;2(14):620-3. doi: 10.5694/j.1326-5377.1978.tb131783.x.