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巴西圣保罗的狼蛛咬伤:515例临床与流行病学研究

Wolf spider bites in São Paulo, Brazil: a clinical and epidemiological study of 515 cases.

作者信息

Ribeiro L A, Jorge M T, Piesco R V, Nishioka S de A

机构信息

Hospital Vital Brazil, Butantan Institute, São Paulo, Brazil.

出版信息

Toxicon. 1990;28(6):715-7. doi: 10.1016/0041-0101(90)90260-e.

Abstract

Data obtained from 515 victims of bites of wolf spiders (family Lycosidae) who were attended in Vital Brazil Hospital, São Paulo City, Brazil, in a 5-year period (1979-1983) were analysed. Bites were more frequent in males (56%). All age groups were involved. Foot and hand were the preferential sites of bite (79%), and pain, generally mild, was the predominant symptom (83%). No local necrosis, a severe complication described in the previous literature, was detected, suggesting that those old cases were due to misdiagnosed Loxosceles spider bites. Specific antivenom was employed in only three cases which is evidence that physicians do not consider wolf spider bites to be severe.

摘要

对1979年至1983年这5年间在巴西圣保罗市的维塔尔·巴西医院就诊的515例狼蛛(狼蛛科)咬伤受害者的数据进行了分析。咬伤在男性中更为常见(56%)。所有年龄组均有涉及。足部和手部是咬伤的主要部位(79%),疼痛通常较轻,是主要症状(83%)。未发现先前文献中描述的严重并发症——局部坏死,这表明那些旧病例是由于误诊为棕色遁蛛咬伤所致。仅3例使用了特异性抗蛇毒血清,这证明医生不认为狼蛛咬伤很严重。

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