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Case Reports
. 2020 Dec 30;91(14-S):e2020009.
doi: 10.23750/abm.v91i14-S.10783.

An unusual two-stage infection following a scolopendra bite

Agnese Puzzo  1 , Carlotta Pari  2 , Giulia Bettinelli  3 , Filippo Raggini  4 , Stefania Paderni  5 , Alberto Belluati  6
Affiliations
Case Reports

An unusual two-stage infection following a scolopendra bite

Agnese Puzzo et al. Acta Biomed. .

Abstract

Background: Scolopendrae represent the best-known genus of centipedes. They are nocturnal general feeders with strong mandibles and venomous fangs which leave visible puncture marks at the bite site. The bite accidents occur during the warm rainy season and mostly take place on the extremities. Following the bite, the most common symptoms are mild: limited localized erythema, pain, swelling, local itching and burning sensation. However, more severe local and systemic sequelae can not be excluded.

Method: we report the case of a 63-year-old man with fever and a widespread edema of the right hand and forearm, happened as a consequence of a Scolopendra Subspinipes bite. During the weeks following the bite, he developed a severe unusual superinfection via hematogenous dissemination, which required a double surgical debridement and a targeted intravenous antibiotic therapy.

Results: the complete clinical recovery took over two month.

Conclusions: Many victims of Scolopendra envenomation do not seek medical attention since most symptoms will resolve spontaneously. The case presented falls within the spectrum of those rare cases which escalate due to bacterial superinfection.

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Conflict of interest statement

All authors declare there is no conflict of interest.

Figures

Figure 1.
Figure 1.
a-b) Erythematous lesion surrounding the Scolopendra’s double puncture wound
Figure 2.
Figure 2.
Bollous skin lesion at the dorsal side of the right thumb
Figure 3.
Figure 3.
a-b-c-d) progression of fasciotomies’ healing process over time
See this image and copyright information in PMC

References

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