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. 2014 Fall;18(4):e155–e158. doi: 10.7812/TPP/14-028

Table 1.

Cases of Latrodectus envenomation

Demographics Clinical symptoms and findings
Sex Age, years Pain Cardiovascular system Respiratory symptoms Other reported symptoms CPK CRP Level of white blood cells Other Treatment
Male 24 Acute abdominal pain ECG: incomplete right bundle branch block Tachypnea, pulmonary edema Sweating, salivation, priapism Elevated Elevated Elevated Elevated troponine (1.6 ng/mL) Antivenin
Male 66 Severe pain in the legs at the bite point, acute abdomen (pain, flatulence) Increased systolic pressure (200 mm Hg), signs of cardiac downturn were present without the final manifestation Dyspnea Slightly elevated Elevated Elevated (20,000/μL) Impaired renal function (creatinine 1.4–1.6) Oxygen (venturi mask 30%), diuretic and morphine, antivenin
Male 64 Severe pain at the dorsal surface of the right foot at the bite area, back pain Mild tachypnea Sweating Pethidine
Female 70 Generalized muscle pain to back, chest, and abdomen Mild hypertension (155/90 mm Hg) Metabolic acidosis (pH: 7.23) Opioid analgesics
Male 49 Intense pain at the area of bite (inner surface of the arm), extension of pain to the chest and abdomen Increased blood pressure (180 mm Hg) Local swelling at the bite area Elevated (1423 U/L) Mild leukocytosis Oxygen, opioid analgesics, calcium and beta-adrenergic blockers, antivenin
Female 4 Intense pain at the area of bite Local swelling at the bite area Mild leukocytosis Oxygen, opioid analgesics
Male 21 Severe pain in the legs, thoracic pain Myocarditisaugmentation in T-wave amplitude in leads V3 through V6 without reciprocal changes General anxiety Mild leukocytosis Elevated cardiac enzymes troponin (1.1 ng/mL) Oxygen, opioid analgesics, antivenin

CPK = creatinine phosphokinase; CRP = C-reactive protein; ECG = electrocardiogram.