medigraphic.com
ISSN 1029-3035 (Electronic)

2019, Number 1

<< Back Next >>

Mediciego 2019; 25 (1)

Latrodectism in a pediatric patient

Álvarez FHB, Cervantes MM, Fernández AA

Language: Spanish
References: 12
Page: 72-78
PDF size: 159.29 Kb.


ABSTRACT

Introduction: the set of symptoms and signs caused by the bite of the spider Latrodectus mactans, called black widow, is known as latrodectism. In Cuba there are few studies carried out and published in this regard. Only four cases have been reported in adults in an article of the year 1998 and one in a teenager in 2006, all of the province of Ciego de Ávila.
Objective: to present the case of a pediatric patient poisoned by the bite of a black widow spider, of interest because it is infrequent.
Case presentation: female patient, eight years old, white skin, resident in a suburban area of Gaspar village, Baraguá municipality, Ciego de Ávila province. She was bitten by a small, black spider. He presented dizziness, pain in the abdomen and left thigh, and marked pallor. She was hospitalized and later manifested pain in both lower limbs, numbness, sweating in hands and feet, and insomnia. This clinical picture remained several days. Complementary tests were normal. Electrocardiogram detected sinus tachycardia. The treatment consisted of 10% calcium gluconate in intravenous perfusion, sedation and pain relief.
Conclusions: physicians in rural or suburban areas should be aware of the possibility of receiving patients with latrodectism, due to the nonspecific clinical picture, which makes diagnosis difficult. It would be convenient to carry out toxicological studies in Cuba about Latrodectus mactans, due to the health problem that implies its toxicity and not having the specific antidote.


REFERENCES

  1. Sotelo Cruz N, Gómez Rivera N. Manifestaciones de neurotoxicidad en el envenenamiento por mordedura de araña «viuda negra» en edades pediátricas. Neurología [Internet]. Abr 2016 [citado 5 Ene 2018];31(4):215-22. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0- S0213485315001504.pdf?locale=es_ES

  2. Ojeda MA, Remondegui C, Neder de Román LE. Latrodectismo en la provincia de Jujuy: Aspectos epidemiológicos y clínicos. Acta toxicol. argent. [Internet]. Dic 2015 [citado 5 Ene 2018];23(3):118-24. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1851-37432015000300002

  3. Sanaei-Zadeh H. Spider bite in Iran. Electron Physician [Internet]. Jul 2017 [citado 5 Ene 2018];9(7):4703-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5586982/pdf/epj-09-4703.pdf

  4. Rahmani F, Bana Khojasteh SM, Ebrahimi Bakhtavar H, Rahmani F, Shahsavari Nia K, Faridaalaee G. Poisonous spiders: bites, symptoms, and treatmen; an educational review. Emerg (Tehran) [Internet]. 2014 [citado 5 Ene 2018];2(2):54-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4614586/pdf/emerg-2-054.pdf

  5. Barrantes Montero G, Valerio Pizarro R. Lactrodectismo en Costa Rica. Acta méd. costarric [Internet]. Jun 2017 [citado 31 Dic 2017];59(2):73-4. Disponible en: http://www.scielo.sa.cr/pdf/amc/v59n2/0001-6002-amc-59-02-00073.pdf

  6. Suárez Hernández M, Pérez Assef JJ, Rodríguez Martín T, Pena Morgado E. Aracnoidismo sistémico. Rev Cubana Med Gen Integr [Internet]. Feb 1998 [citado 5 Ene 2018];14(1):22-6. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0864- 21251998000100003&script=sci_arttext&tlng=en

  7. Díaz Mizos FA, Batista Díaz A, Couce Herrera V, Salinas Pérez M. Latrodectismo: presentación de cuatro casos. MediCiego [Internet]. 2006 [citado 5 Ene 2018];12(2):[aprox. 7 p.]. Disponible en: http://www.bvs.sld.cu/revistas/mciego/vol12_02_06/casos/c3_v12_0206.html

  8. Yan S, Wang X. Recent advances in research on widow spider venoms and toxins. Toxins (Basel) [Internet]. Dic 2015 [citado 5 Ene 2018];7(12):5055-67. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4690112/pdf/toxins-07-04862.pdf

  9. Sotelo Cruz N, Hurtado Valenzuela JG, Gómez Rivera N. Envenenamiento en niños por mordedura de la araña "Latrodectus Mactans" (Viuda Negra): Características clínicas y tratamiento. Gac. Méd. Méx [Internet]. Abr 2006 [citado 5 Ene 2018];142(2):103-8. Disponible en: http://www.scielo.org.mx/pdf/gmm/v142n2/v142n2a4.pdf

  10. Bolaños Rivero M, Martín Sánchez AM, Muro Álvarez A, Pérez Arellano JL. Prevención general de las enfermedades producidas/transmitidas por artrópodos. En: Muro Álvarez A, Pérez Arellano JL, editores. Manual de Enfermedades importadas. Barcelona: Elsevier Masson; 2012. p. 121-35.

  11. Méndez GP, Enos D, Moreira JL, Alvaredo F, Oddó D. Nephrotic syndrome due to minimal change disease secondary to spider bite: clinico-pathological case of a non-described complication of latrodectism. Clin Kidney J [Internet]. Abr 2017 [citado 5 Ene 2018];10(2):229-32. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5381243/pdf/sfw110.pdf

  12. Ryan NM, Buckley NA, Graudins A. Treatments for latrodectism–A systematic review on their clinical effectiveness. Toxins (Basel) [Internet]. Abr 2017 [citado 5 Ene 2018];9(4):148. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5408222/pdf/toxins-09- 00148.pdf




2020     |     www.medigraphic.com