Priapism after spider bite / Priapismo después de mordedura de araña

Aurelio Rodriguez Fernandez, Yenifer Bringas Sosa, Yumar de la Paz Perez, Alexei Ortiz Milan

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Resumen

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.

Palabras clave

Priapism; Spider bites; Abdominal pain

Referencias

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.

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Nancy G. Hoover, MD, James D Fortenberry.http://www.pediatrics.org/cgi/content/full/114/1/e 128. Pediatrics. Vol.114. No.1. July 2014.

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

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