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Nicholas C Kanaan, Jeremiah Ray, Matthew Stewart, Katie W Russell, Matthew Fuller, Sean P Bush, E Martin Caravati, Michael D Cardwell, Robert L Norris, Scott A Weinstein
No abstract text is available yet for this article.
December 2015: Wilderness & Environmental Medicine
Roy E Strowd, Blake Scott, Francis O Walker
Horner's syndrome involves a triad of eyelid ptosis, miosis, and facial anhidrosis that results from disruption of the oculosympathetic pathway. Acquired Horner's syndrome is associated with a variety of medical conditions including Pancoast tumor and carotid dissection. We report the unique case of a 47-year-old man presenting with Horner's syndrome 4 weeks after black widow spider envenomation. Workup did not reveal any alternative explanatory etiology. We hypothesize that late sequelae of black widow spider envenomation secondary to autonomic nerve injury or retrograde axonal transport after mechanical inoculation may have led to an acquired defect in the oculosympathetic pathway resulting in a Horner's syndrome...
June 2012: Wilderness & Environmental Medicine
Ricky Lee Langley
OBJECTIVE: To review reported bites by venomous snakes in pregnant women. METHODS: This is a review of Medline/PubMed articles on venomous snakebites occurring during pregnancy reported in the English literature from 1966 to May 2009. RESULTS: Two hundred thirteen venomous snakebites were reported in pregnant women. The overall case-fatality rate in the pregnant females was approximately 4%, and the fetal loss rate was approximately 20%. CONCLUSIONS: Although rare, venomous bites and stings during pregnancy may have a significant adverse effect on the fetus as well as the mother...
March 2010: Wilderness & Environmental Medicine
Tajamul Hussain, Rafi A Jan
A 46-year-old farmer presented to the emergency department 3 hours after his penis was bitten by a snake while he was urinating in an open field. The snake was identified by the patient as "gunas," which is the local name of the Levantine viper (Macrovipera lebetina). Physical examination revealed..
September 10, 2015: New England Journal of Medicine
David B Tarullo, Ryan C Jacobsen, D Adam Algren
Brown recluse spider (Loxosceles reclusa) envenomations with subsequent necrotic skin lesions occur infrequently, and systemic loxoscelism is rarer still. We report a case of 2 successive developing necrotic lesions, each on adjacent medial aspects of the legs, secondary to presumed Loxosceles envenomation. A 31-year-old man with no significant past medical history presented to the emergency department with 2, large, necrotic lesions, 1 on each medial thigh. They had progressed over the course of 1 month from small blisters to large necrotic lesions with eschar...
June 2013: Wilderness & Environmental Medicine
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