Ramialiharisoa A, de Haro L, Jouglard J, Goyffon M
Service de Réanimation Médicale et de Toxicologie clinique, l'Hôpital Joseph Ravohangy, Antananarivo, Madagascar.
Med Trop (Mars). 1994;54(2):127-30.
Data concerning lactrodectism in Madagascar is scarce. Two spider species of the Latrodectus genus are found on the Grand Isle: the black widow Latrodectus mactans mena vody and the brown widow Latrodectus geometricus. From March 1991 through July 1992, 10 cases of envenomation by these spiders were treated in the Intensive Care Unit of Antananarivo Hospital. Symptomatology was remarkable with regard to severity (one fatality due to cardiovascular failure, one gangrene of the foot) as well as clinical manifestations (immediate local pain, kidney dysfunction, arterial hypertension). In two cases, the spider was captured and identified. Both were female brown widows (Latrodectus geometricus), which might explain the differences observed in comparison with the classic features of latrodectism that have been established from American and European black widow bites. Since antivenom was unavailable, only symptomatic treatment was administered, including intravenous calcium that proved effective for pain relief.
关于马达加斯加岛蛛毒中毒的数据很少。在这个大岛上发现了两种寇蛛属蜘蛛：黑寡妇蜘蛛（Latrodectus mactans mena vody）和棕寡妇蜘蛛（Latrodectus geometricus）。1991年3月至1992年7月期间，塔那那利佛医院重症监护病房治疗了10例被这些蜘蛛咬伤中毒的病例。症状在严重程度（1例因心血管衰竭死亡，1例足部坏疽）以及临床表现（立即出现局部疼痛、肾功能障碍、动脉高血压）方面都很显著。在两例病例中，捕获并鉴定了蜘蛛。两只都是雌性棕寡妇蜘蛛（Latrodectus geometricus），这可能解释了与源自美国和欧洲黑寡妇蜘蛛咬伤所确定的典型蛛毒中毒特征相比所观察到的差异。由于没有抗蛇毒血清，仅进行了对症治疗，包括静脉注射钙剂，事实证明其对缓解疼痛有效。
