Literature DB >> 30323528

Obtundation and Myocardial Infarction in a Case of Systemic Loxoscelism.

Karen D Schilli1, Ryan K Rader1, Katie S Payne1, Jonathan A Green1, William V Stoecker1.   

Abstract

We report an atypical course of a likely brown recluse spider bite in a 79-year-old male. The Rader scale and Loxosceles reclusa venom detection by ELISA provide supporting evidence for a loxoscelism diagnosis. Obtundation and myocardial infarction occurred following a drop in hemoglobin to 6.5g/dL. The rapid loss of blood volume was considered a significant etiologic factor for both the obtundation and myocardial infarction. The neurological symptoms reversed rapidly after packed red blood cell transfusion.

Entities:  

Year:  2014        PMID: 30323528      PMCID: PMC6179499     

Source DB:  PubMed          Journal:  Mo Med        ISSN: 0026-6620


  11 in total

1.  Acute hemolytic anemia during sulfonamide therapy.

Authors:  R G CARTER
Journal:  Can Med Assoc J       Date:  1961-01-14       Impact factor: 8.262

Review 2.  Bites of brown recluse spiders and suspected necrotic arachnidism.

Authors:  David L Swanson; Richard S Vetter
Journal:  N Engl J Med       Date:  2005-02-17       Impact factor: 91.245

Review 3.  The clinical sequelae of intravascular hemolysis and extracellular plasma hemoglobin: a novel mechanism of human disease.

Authors:  Russell P Rother; Leonard Bell; Peter Hillmen; Mark T Gladwin
Journal:  JAMA       Date:  2005-04-06       Impact factor: 56.272

4.  Diagnosis of loxoscelism in a child confirmed with an enzyme-linked immunosorbent assay and noninvasive tissue sampling.

Authors:  William V Stoecker; Jonathan A Green; Hernan F Gomez
Journal:  J Am Acad Dermatol       Date:  2006-09-01       Impact factor: 11.527

Review 5.  Necrotic arachnidism.

Authors:  H H Sams; C A Dunnick; M L Smith; L E King
Journal:  J Am Acad Dermatol       Date:  2001-04       Impact factor: 11.527

6.  Seasonality of brown recluse populations is reflected by numbers of brown recluse envenomations.

Authors:  R K Rader; W V Stoecker; J M Malters; M T Marr; J A Dyer
Journal:  Toxicon       Date:  2012-03-21       Impact factor: 3.033

7.  Comparison of colchicine, dapsone, triamcinolone, and diphenhydramine therapy for the treatment of brown recluse spider envenomation: a double-blind, controlled study in a rabbit model.

Authors:  Dirk M Elston; Scott D Miller; Russell J Young; Jeff Eggers; David McGlasson; William H Schmidt; Anneke Bush
Journal:  Arch Dermatol       Date:  2005-05

8.  Troponin I sensitivity and specificity for the diagnosis of acute myocardial infarction.

Authors:  G Ross; F N Bever; Z Uddin; E M Hockman
Journal:  J Am Osteopath Assoc       Date:  2000-01

9.  Systemic loxoscelism confirmation by bite-site skin surface: ELISA.

Authors:  William V Stoecker; Gary S Wasserman; David A Calcara; Jonathan A Green; Karen Larkin
Journal:  Mo Med       Date:  2009 Nov-Dec
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