Recognition and Successful Treatment of Priapism and Suspected Black Widow Spider Bite With Antivenin
Recognition and Successful Treatment of Priapism and Suspected Black Widow Spider Bite With Antivenin
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DOI：
10.1097/pec.0000000000000235
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发表时间：
2014-10-01
影响因子：
1.4
通讯作者：
Fortenberry, James
中科院分区：
文献类型：
--
作者：
Goel, Sheila Choudhury;Yabrodi, Mouhammad;Fortenberry, James
阴茎异常勃起虽然在青春期前的儿童中不常见，但被认为是真正的急症。据报道，黑寡妇蜘蛛咬伤的毒液会诱发阴茎异常勃起，这是其毒性的一种表现。据报道，早期识别和及时给予抗蛇毒血清可有效缓解阴茎异常勃起。照顾儿童的临床医生需要注意这种不寻常的表现。传统的诊断方法是直接观察蜘蛛咬伤或捕获蜘蛛。我们报告一个以前健康的2岁男孩谁提出了严重的烦躁不安，腿抽筋，胃痛。在没有明显接触的情况下，根据临床怀疑和暗示性身体检查结果做出了可能是黑寡妇蜘蛛毒液中毒的诊断。这个病例强调了早期识别和成功解决症状与管理抗蛇毒血清和支持性治疗的重要性。
Priapism, although uncommon in preadolescent children, is considered a true emergency. Envenomation by a black widow spider bite has been reported to induce priapism as a manifestation of its toxicity. Early recognition and timely administration of antivenin have been reported to be effective in relieving priapism. Clinicians who care for children need to be aware of this unusual presentation. The diagnosis is traditionally from either direct observation of a spider bite or capture of a spider. We report a case of a previously healthy 2-year-old boy who presented with severe irritability, leg cramps, and stomachache. The diagnosis of a likely black widow spider envenomation was made on the basis of clinical suspicion and suggestive physical findings in absence of demonstrated exposure. This case highlights the importance of early recognition and successful resolution of symptoms with administration of antivenin and supportive care.