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一例观赏性狼蛛咬伤后全身肌肉痉挛的病例报告,静脉注射葡萄糖酸钙治疗效果良好。

A Case Report on Generalised Muscle Spasms After Ornamental Tarantula Bites That Responded Well to Intravenous Calcium Gluconate Treatment.

作者信息

Ramesh Ramanathan, Kanagasingam Arulmoly, Anushanth Uthayakumar, Gunasinghe Aruna, Suganthan Navaneethakrishnan

机构信息

General Medicine, Teaching Hospital Batticaloa, Batticaloa, LKA.

Medicine, Teaching Hospital Batticaloa, Batticaloa, LKA.

出版信息

Cureus. 2023 Aug 7;15(8):e43074. doi: 10.7759/cureus.43074. eCollection 2023 Aug.

DOI:10.7759/cureus.43074
PMID:37692640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10483889/
Abstract

Here, we present a case of a 55-year-old male, who was admitted with a spider bite, which caused swelling of the hand and painful muscle spasms along with palpitations. The patient made a complete recovery after the administration of intravenous calcium gluconate, followed by oral calcium supplements. Although no specific treatment exists in Sri Lanka for spider bites, calcium supplements can be beneficial for Sri Lankan ornamental tarantula (Poecilotheria fasciata) bites.

摘要

在此,我们呈现一例55岁男性病例,该患者因蜘蛛叮咬入院,叮咬导致手部肿胀、肌肉疼痛性痉挛以及心悸。患者在静脉注射葡萄糖酸钙,随后口服补钙剂后完全康复。尽管斯里兰卡没有针对蜘蛛叮咬的特效治疗方法,但补钙剂对斯里兰卡观赏狼蛛(条纹锯螯蛛)叮咬可能有益。

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本文引用的文献

1
Clinico-epidemiology of arthropod stings and bites in primary hospitals of North Western province of Sri Lanka.斯里兰卡西北部省级医院节肢动物蜇伤和咬伤的临床流行病学。
Clin Toxicol (Phila). 2018 Oct;56(10):880-885. doi: 10.1080/15563650.2018.1447120. Epub 2018 Mar 6.
2
Spider bite.蜘蛛咬伤。
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The global epidemiology, syndromic classification, management, and prevention of spider bites.蜘蛛咬伤的全球流行病学、综合征分类、管理及预防
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4
A comparison of calcium gluconate and methocarbamol (Robaxin) in the treatment of Latrodectism (black widow spider envenomation).葡萄糖酸钙与美索巴莫(罗巴克辛)治疗黑寡妇蜘蛛咬伤的疗效比较
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Clinical presentation and treatment of black widow spider envenomation: a review of 163 cases.黑寡妇蜘蛛咬伤的临床表现与治疗:163例病例回顾
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