Essler Shannon E, Julakanti Maneesha, Juergens Andrew L
Department of Emergency Medicine, Texas A&M/Baylor Scott & White Health, Temple, TX (Drs Essler and Juergens).
Baylor University, Waco, TX (Ms Julakanti).
Wilderness Environ Med. 2017 Mar;28(1):51-53. doi: 10.1016/j.wem.2016.11.003. Epub 2017 Jan 11.
Envenomation by Scolopendra heros, the Texas redheaded centipede, can present variably. Although transient pain and erythema are often treated conservatively, complications may include cellulitis, necrosis, myocardial infarction, and rhabdomyolysis. We present a case of an elderly man who came to the emergency department with lymphangitis and dermatitis secondary to a centipede sting that awoke him from sleep. It is important to recognize the potential of centipede envenomation to have severe local and systemic manifestations.
被德克萨斯红头蜈蚣（Scolopendra heros）蜇伤后的中毒表现可能各不相同。虽然短暂的疼痛和红斑通常采用保守治疗，但并发症可能包括蜂窝织炎、坏死、心肌梗死和横纹肌溶解。我们报告一例老年男性病例，他因蜈蚣蜇伤继发淋巴管炎和皮炎而到急诊科就诊，此次蜇伤将他从睡眠中惊醒。认识到蜈蚣蜇伤有可能导致严重的局部和全身表现非常重要。
