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蜈蚣蜇伤后全身性过敏反应:一例病例报告及文献复习

Systemic anaphylaxis following centipede envenomation: A case report and review of literature.

作者信息

Nayak Chitralekha A, Naik Vijay R, Kurdikar Samidha U, Pereira Myla I

机构信息

Department of Medicine, Healthway Hospitals Pvt. Ltd. Goa, India.

出版信息

J Family Med Prim Care. 2024 Nov;13(11):5418-5420. doi: 10.4103/jfmpc.jfmpc_948_24. Epub 2024 Nov 18.

DOI:10.4103/jfmpc.jfmpc_948_24
PMID:39723015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668425/
Abstract

Centipede envenomation is usually not life-threatening. They usually present with local symptoms of swelling and pain. Centipede venoms contain large amounts of allergenic proteins that can pose a risk of allergic complications following the bite. Here, we report a rare but important case of systemic anaphylaxis in the form of abdominal pain immediately following a centipede bite that subsided after adrenaline administration. Knowledge of this systemic anaphylaxis is essential for timely management of centipede envenomation.

摘要

蜈蚣蜇伤通常不会危及生命。患者通常表现为局部肿胀和疼痛症状。蜈蚣毒液含有大量致敏蛋白,蜇伤后可能引发过敏并发症。在此,我们报告一例罕见但重要的病例,患者在蜈蚣蜇伤后立即出现以腹痛形式表现的全身性过敏反应,注射肾上腺素后症状缓解。了解这种全身性过敏反应对于及时处理蜈蚣蜇伤至关重要。

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本文引用的文献

1
Patients with centipede bites presenting to a university hospital in Bangkok: a 10-year retrospective study.曼谷某大学附属医院接诊蜈蚣咬伤患者:一项 10 年回顾性研究。
Clin Toxicol (Phila). 2021 Aug;59(8):721-726. doi: 10.1080/15563650.2020.1865543. Epub 2021 Jan 21.
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Hymenoptera allergens: from venom to "venome".膜翅目过敏原:从毒液到“类毒液”
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Centipede bites in Hawai'i: a brief case report and review of the literature.夏威夷的蜈蚣咬伤:一则简短病例报告及文献综述
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Centipede envenomation.蜈蚣蜇伤
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Proteins, lipids, lipoproteins and some enzyme characterizations of the venom extract from the centipede Scolopendra morsitans.蜈蚣(少棘巨蜈蚣)毒液提取物的蛋白质、脂质、脂蛋白及一些酶的特性
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