Open AccessAnalysis of cases caused by acute spider bite
Author(s) -
Zihni Sulaj,
Gentian Vyshka,
Amarda Gashi
Publication year - 2015
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.1016/j.joad.2015.04.013
Subject(s) - medicine , vital signs , spider , tachycardia , resuscitation , retrospective cohort study , pediatrics , surgery , anesthesia , zoology , biology
We performed a retrospective study of 176 patients in the University Hospital Center of Tirana (Albania), during the period 2001–2011, admitted with the diagnosis of a suspected spider bite. Three fatalities were registered during this decade covered from our study, with a clinical picture of marked hypertension, tachycardia and acute cardiac failure leading to death within a minimum of 25 h and a maximum of 42 h from the occurrence. Out of the total of 176 patients, we had 59% (104 cases) females, and 41% males. The overwhelming majority of the patients lived in rural areas (155 of the cases); extremities were mostly affected from the bites. A summary of clinical signs and a brief review of the available literature are made in the results and discussion section of this paper. Authors advocate that special precautions should be taken especially in severe forms of interesting autonomous nerve system, with aggressive fluid resuscitation, supportive therapy and close monitoring of vital signs