Titelbaum Nicholas V, Hughes Michael J, Wilson James L
University of Central Florida, Orlando, FL; Ocala Regional Emergency Department, Ocala Regional Medical Center, Ocala, FL.
University of Central Florida, Orlando, FL; Ocala Regional Emergency Department, Ocala Regional Medical Center, Ocala, FL.
Wilderness Environ Med. 2021 Mar;32(1):63-69. doi: 10.1016/j.wem.2020.08.004. Epub 2020 Dec 9.
We present the case of a patient who developed myalgia as the primary symptom of envenomation by the eastern coral snake, Micrurus fulvius. The patient was evaluated and treated in the emergency department. Physical examination did not demonstrate any neuromuscular abnormalities. On consultation with the poison control center, the patient's myalgia was determined to be an effect of envenomation, and 5 vials of North American coral snake antivenin were administered. The patient was admitted to the intensive care unit where his symptoms resolved. He was discharged the following day after remaining asymptomatic for 24 h.
我们报告一例患者,其出现肌痛,这是东部珊瑚蛇(Micrurus fulvius)毒液中毒的主要症状。该患者在急诊科接受了评估和治疗。体格检查未发现任何神经肌肉异常。经与中毒控制中心会诊,确定患者的肌痛是毒液中毒的结果,并给予了5瓶北美珊瑚蛇抗蛇毒血清。患者被收入重症监护病房,其症状得到缓解。在24小时无症状后,他于次日出院。