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Titre du document / Document title

Management of the brown recluse spider bite to the glans penis

Auteur(s) / Author(s)

BROUGHTON G. II (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Brooke Army Medical Center, Department of General Surgery, Fort Sam Houston, TX 78234, ETATS-UNIS

Résumé / Abstract

A significant number of people are bitten by the brown recluse spider (BRS) each year. Medical treatment regimens are sometimes unsatisfactory and surgical intervention is often necessary to debride the necrotic wound. This case study reports the treatment given to a 19-year-old active duty United States Army soldier who suffered a BRS bite to the glans penis. This patient received immediate medical attention and was started on intravenously administered diphenhydramine, methylprednisolone, calcium gluconate, and famotidine. Oral dapsone treatment was begun in the emergency room. Within 24 hours after his injury, the patient received his first hyperbaric oxygen treatment, which was continued twice daily for 5 days. Skin necrosis was avoided, the patient did not require any surgical intervention, and he was discharged after 8 days without sequelae.

Revue / Journal Title

Military medicine    ISSN  0026-4075   CODEN MMEDA9 

Source / Source

1996, vol. 161, no10, pp. 627-629 (13 ref.)

Langue / Language

Anglais

Editeur / Publisher

Association of Military Surgeons, Bethesda, MD, ETATS-UNIS  (1955) (Revue)

Mots-clés anglais / English Keywords

Bite

;

Envenomization

;

Animal origin

;

Edema

;

Erythema

;

Penis

;

Glans

;

Hyperbaric oxygenotherapy

;

Chemotherapy

;

Case study

;

Treatment

;

Young adult

;

Combined treatment

;

Arachnida

;

Human

;

Arthropoda

;

Invertebrata

;

Skin disease

;

Penile diseases

;

Male genital diseases

;

Mots-clés français / French Keywords

Morsure

;

Envenimation

;

Origine animale

;

Oedème

;

Erythème

;

Pénis

;

Gland

;

Oxygénothérapie hyperbare

;

Chimiothérapie

;

Etude cas

;

Traitement

;

Adulte jeune

;

Traitement associé

;

Arachnida

;

Loxosceles reclusus

;

Homme

;

Arthropoda

;

Invertebrata

;

Peau pathologie

;

Pénis pathologie

;

Appareil génital mâle pathologie

;

Mots-clés espagnols / Spanish Keywords

Mordedura

;

Enconamiento

;

Origen animal

;

Edema

;

Eritema

;

Pene

;

Glande

;

Oxigenoterapia hiperbárica

;

Quimioterapia

;

Estudio caso

;

Tratamiento

;

Adulto joven

;

Tratamiento asociado

;

Arachnida

;

Hombre

;

Arthropoda

;

Invertebrata

;

Piel patología

;

Pene patología

;

Aparato genital macho patología

;

Localisation / Location

INIST-CNRS, Cote INIST : 2017, 35400006684436.0130

Nº notice refdoc (ud4) : 2471464



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