Croatian Medical Association, Branch Rijeka
Scolopendrism on Montenegrian coast – report of two patients
2012
Cilj: Malo je podataka u literaturi o skolopendrizmu na obalama Jadranskog mora. U ovom radu prikazana su dva bolesnika (14 i 31 godina) sa skolopendrizmom izazvanim vrstom Scolopendra cingulata. Prikaz slučaja: Kod prvog bolesnika ugriz je bio u palac desnog stopala, a nastao je prilikom oblačenja tenisica. Drugi bolesnik imao je ugriz u treći prst lijeve šake, nastao prilikom navlačenja zaštitnih rukavica na radnom mjestu. Od lokalnih simptoma zapaženi su: žareći bol, zračenje bola uzduž ekstremiteta, otok i crvenilo kože te grčenje mišića natkoljenice. Od općih simptoma zapažena je samo mučnina. Primijenjena je simptomatska terapija (analgetici i trankvilizatori). Nakon 3 i 6 dana bolesnici nisu imali niti jedan simptom. Zaključak: Scolopendra cingulata predstavlja opasnost, kako za zdravlje lokalnog stanovništva, tako i za turiste na obalama Jadranskog mora. Liječenje ovog skolopendrizma isključivo je simptomatsko. Ovaj rad donosi prvi detaljan opis simptoma skolopendrizma u Crnogorskom primorju.Aim: The literature on scolopendrism in the Adriatic coast is scarce. In this paper we present two patients (age fourteen and thirty one) with scolopendrism caused by Scolopendra cingulata. Case report: The first patient was bitten on the big toe of the right foot which occured on the ground floor of the family house while patient was putting on running shoes. The second patient was bitten on the third finger of the left hand while at work putting on working gloves. The local symptoms were burning pain along the extremities, redness, swolen skin and spasm of thigh muscles. Nausea was the only systemic symptom noticed. Symptomatic therapy was applied (analgetics and tranquilisators). After 3 to 6 days all symptoms disappeared. Conclusions: Scolopendra cingulata represents a real danger for the health of the local population and tourists on the Adriatic coast. The therapy of this type of scolopendrism is only symptomatic. This paper provides the first detailed symptoms description of scolopendrism on the Montenegrian coast
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