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Revista Cubana de Medicina Intensiva y Emergencias

ISSN 1810-2352 (Print)
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2017, Number 2

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Rev Cub Med Int Emerg 2017; 16 (2)

Priapism after spider bite

Rodriguez FA, Ortiz MA, Bringas SY, de la Paz PY
Full text How to cite this article

Language: English
References: 7
Page: 43-47
PDF size: 318.64 Kb.


Key words:

priapism, spider bites, abdominal pain.

ABSTRACT

Introduction: some spider bites specific the Black Widow Spider Envenomation (BWSE) is commonly associated with severe abdominal pain, muscle cramping, hypertension and priapism. Treatment is primarily symptomatic with the use of opiates and benzodiazepines. Priapism is a complication of BWSE that it has only rarely been reported.
Case report: it describes an 11 years old male who developed priapism after spider bite admitted in Letsholathebe II Memorial Hospital Maun, Botswana. He was treated with diazepam, steroids and diphenhydramine in Emergency as well as local management.
Conclusion: the patient required no additional opiates for pain and he was discharged from the hospital 2 days after the admission.


REFERENCES

  1. Richard F, Susan Wethern, Michael Vance, Richard Gerkiang. Clinical presentation and treatment of black widow spider’s envenomation. A review of 163 cases. Annals of Emergency Medicine. July 1992. 21:7.

  2. Ellenhorn MJ, Barceloux DG. Medical Toxicology. New York. Elsiever, 1988 p1150-1152.

  3. Kobernic KM: Black widow spider bite. Am Fam Physician 1984; 29:241-245.

  4. Nancy G. Hoover, MD, James D Forten berry. Pediatrics. Vol.114. No.1. July 2014. Available on: http://www.pediatrics.org/cgi/content/full/114/1/e128

  5. Winter CC, Mc Dowell G. Experience with 105 patients with priapism: update review of all aspects. J Urol. 1988; 140:980–983.

  6. Harmon WJ, Nehra A. Priapism: diagnosis and management. Mayo Clin Proc. 1997; 72:350–355.

  7. Stiles AD. Priapism following a black widow spider bite. Clin Pediatr (Phila). 1982; 21:174-175.




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Rev Cub Med Int Emerg. 2017;16