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Epidemiological aspects of centipede (Scolopendromorphae: Chilopoda) bites registered in greater S. Paulo, SP, Brazil.
Knysak, I; Martins, R; Bertim, C R.
Afiliación
  • Knysak I; Laboratório de Artrópodes do Instituto Butantan, São Paulo, Brasil. crbertim@usp.br
Rev Saude Publica ; 32(6): 514-8, 1998 Dec.
Article en En | MEDLINE | ID: mdl-10349142
INTRODUCTION: The lack of basic knowledge on venomous arthropods and the benignity of the clinical manifestations contribute to the centipede bite victims' not being taken to a treatment reference center, leading to underestimation of the number of cases and minimizing the possibility of a broader epidemiological view. An inventory of the centipede bite occurrences in Greater S. Paulo, Brazil, and the therapeutic methods employed, by the main Brazilian medical center for the notification of poisoning by venomous animals, is presented. METHOD: All patient cards of the period 1980-1989 have been checked as to place, month and time of occurrence; sex, age, affected part of the body, signs and symptoms have been observed, as well as the therapeutic methods employed. The centipedes that caused the accidents were identified at the Arthropods Laboratory. RESULTS: It was registered 216 accidents, with a 69% predominance of the Greater S. Paulo and in only 63% of the cases (136) was the agent brought in by the victim for identification. The genera most frequently represented were Cryptops (58%), Otostigmus (33%) and Scolopendra (4%). Of the 136 cases, 87% showed erythema, edema, hemorrhage, burns, cephalalgia, and intense pain. There was a predominance of accidents in the warm rainy season, in the morning and for females between 21 and 60 years of age. Hands and feet were the parts of the body most affected. The benign evolution of the clinical picture (54%) made therapeutical treatment unnecessary. Only the victims of Scolopendra and Otostigmus (46%) were medicated with anesthetics (51%), analgesics (25%), antihistamines and cortisone (24%). CONCLUSION: The reproductive period of the centipedes, associated with their sinanthropic habits, contributes to the greater incidence of accidents in urban areas in the warm rainy season. Only patients bitten by Scolopendra and Otostigmus require therapeutical treatment.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artrópodos / Mordeduras y Picaduras de Insectos Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Animals / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Región como asunto: America do sul / Brasil Idioma: En Revista: Rev Saude Publica Año: 1998 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artrópodos / Mordeduras y Picaduras de Insectos Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Animals / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Región como asunto: America do sul / Brasil Idioma: En Revista: Rev Saude Publica Año: 1998 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil