Varl Tanja, Grenc Damjan, Kostanjšek Rok, Brvar Miran
Centre for Clinical Toxicology and Pharmacology, Division of Internal Medicine, University Medical Centre Ljubljana, Zaloška cesta 7, 1000, Ljubljana, Slovenia.
Department of Biology, Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, 1000, Ljubljana, Slovenia.
Wien Klin Wochenschr. 2017 Sep;129(17-18):630-633. doi: 10.1007/s00508-017-1217-8. Epub 2017 May 24.
In Central Europe, reports of human envenomation by Cheiracanthium punctorium, commonly known as the yellow sac spider, are sporadic, despite the fact that this species is widespread in Europe. However, in recent years, C. punctorium has been repeatedly described globally in medical and toxicological literature. Its venom was found to possess insecticidal, haemolytic, cytotoxic, and membrane-damaging activities. Its bite is often very painful, frequently associated with local and transient cutaneous and neurotoxic effects, but sometimes also with systemic symptoms which require medical help. The main objective of this article is to introduce more details about C. punctorium, the clinical manifestations and circumstances of its bite, the characteristics of its venom and proposed clinical management. The authors provide case reports of patients bitten by C. punctorium during the 10-year observational period. All patients presented in this article showed generally mild clinical manifestations and recovered completely without sequelae. No further treatment in terms of hospital surveillance or specific clinical measures was necessary in any of the reported cases.
在中欧，尽管黄斑园蛛（俗称黄囊蛛）在欧洲广泛分布，但关于人类被其蜇伤的报告却很零散。然而，近年来，黄斑园蛛在全球医学和毒理学文献中被多次描述。人们发现其毒液具有杀虫、溶血、细胞毒性和膜损伤活性。其叮咬通常非常疼痛，常伴有局部和短暂的皮肤及神经毒性作用，但有时也会出现需要医疗救助的全身症状。本文的主要目的是介绍更多关于黄斑园蛛的细节、其叮咬的临床表现和情况、毒液的特性以及建议的临床处理方法。作者提供了在10年观察期内被黄斑园蛛叮咬患者的病例报告。本文中介绍的所有患者临床表现总体较轻，均完全康复且无后遗症。在所报告的任何病例中，均无需进行进一步的医院监测或采取特定临床措施。
