md-medicaldata

Authors

 

Pavle Banović

Pasterov zavod, Novi Sad

 

Rad je primljen 01.09.2017. / Prihvaćen 13.09.2017.

 

Correspondence to

Dr Pavle Banović,
Pasterov zavod Novi Sad
Hajduk Veljkova 1
Tel: 021/661-1003
e-mail: pavle.banovic.mf@gmail.com

 

 

Sažetak

 

Scolopendra cingulata (Laterille, 1829), u narodu poznata kao ,,zmijski češalj’’ je prvi put uočena na jednom lokalitetu 1956. godine i od tada su podaci o njoj na teritoriji naše zemlje retki. Predstavlja najveću centipedu u Evropi i jedinu koja može ozbiljnije ozlediti čoveka. Skolopendrizam u Republici Srbiji predstavlja pravi raritet, te do sada nema opisanog slučaja ozleđivanja čoveka od strane centipede Scolopendra cingulata (Laterille, 1829). Pacijent star 85 godina biva ozleđen od strane nepoznate stonoge u toaletu svog doma u području palca desne noge. Stonoga je naknadno identifikovana kao Scolopendra cingulata (Laterille, 1829). Kao glavne tegobe navodi jak bol u predelu ozleđivanja i intenzivno žarenje i trnjenje koje se širi do kolena iste noge. Objektivnim nalazom je utvrđeno blago crvenilo ozleđenog područja. Ambulantno mu je ordinirano i.v. 20mg hloropiranima (Synopen), 2 x 4mg deksametazona i 40mg metilprednizolona. Nakon 24 sata od ujeda bol je potpuno nestao i pacijent je mogao nesmetano da hoda. Iako postoji mogućnost da vrsta locirana na teritoriji naše zemlje pokazuje fenotipske i genotipske razlike u odnosu na opisane vrste mediteranskog pojasa, svaki ujed treba shvatiti ozbiljno i energično delovati u cilju olakšavanja simptoma pacijenta, konstantnog monitoringa i sprečavanja razvoja izolovanih ili udruženih komplikacija sa potencijalnim komorbiditetima koje pacijent poseduje.

 

 

 

Ključne reči:

Scolopendra cingulata, scolopendrizam, tretman, Srbija

 

 

Abstract

 

Scolopendra cingulata (Laterille, 1829) was noticed sixty years ago for the first time in one location in Serbia and since then data about it are scarce. It represents the biggest centipede in Europe and only one that can seriously harm humans. Scolopendrism in Republic of Serbia is a true rarity and until now there has been no case report of harming human by centipede Scolopendra cingulata (Laterille, 1829). Patient aged 85, was stung on his right leg toe by unknown centipede in the toilet of his home. The centipede was afterwards identified as Scolopendra cingulata. As a chief complaint patient describes intense pain at the sting site and burning feeling that spreads to the hip joint. The objective finding revealed a slight redness of the affected area. He was ordinated 20mg chloropyramine (Synopen), 2x4mg dexamethasone and 40mg methylprednisolone i.v. 24 hours after centipede attack pain was completely gone and the patient could walk freely. Although there is a possibility that a species located in our country's territory exhibits phenotypes and genotype differences in relation to the more widely described Mediterranean type, each human bitten by i.e. that come into contact with Scolopendra cingulata venom should be taken seriously in order to facilitate the patient's symptoms, manage constant monitoring and prevent the development of isolated or associated complications with potential comorbidities of the patient.

 

 

Key words:

: Scolopendra cingulata, scolopendrism, treatment, Serbia

 

 

References

 

1. Mitic B, Tomic V. On the fauna of centipedes (Chilopoda, Myriapoda) inhabiting Serbia and Montenegro. Arch Biol Sci. 2002;54(3–4):133–40.
2. Radosavljević M, Pajović B, Radunović M. Skolopendrizam na Crnogorskom primorju–prikaz dvaju bolesnika. Med Flum. 2012;48(1):106–111.
3. Veraldi S, Chiaratti A, Sica L. Centipede bite: a case report. Arch Dermatol. 2010;146(7):807–808.
4. Zimić A, Jelić D. Interspecific illusions: Underestimation of the power of the Mediterranean banded centipede. HYLA-Herpetološki Bilt. 2014;2014(1):27–29.
5. Oeyen JP, Funke S, Böhme W, Wesener T. The Evolutionary History of the Rediscovered Austrian Population of the Giant Centipede Scolopendra cingulata Latreille 1829 (Chilopoda, Scolopendromorpha). Ketmaier V, editor. PLoS ONE. 2014 Sep 24;9(9):e108650.
6. Kaltsas D, Simaiakis S. Seasonal patterns of activity of Scolopendra cretica and S. cingulata (Chilopoda, Scolopendromorpha) in East Mediterranean maquis ecosystem. Int J Myriapodology. 2012 Jun 5;7:1–14.
7. Veraldi S, Çuka E, Gaiani F. Scolopendra bites: a report of two cases and review of the literature. Int J Dermatol. 2014;53(7):869–872.
8. Lin TJ, Yang CC, Yang GY, Ger J, Tsai WJ, Deng JF. Features of centipede bites in Taiwan. Trop Geogr Med. 1995;47(6):300–2.
9. Jüngling C, Sadowski C, Glitsch M, Vandersee S. Secondary cutaneous diphtheria due to the bite of a Thai centipede (Scolopendra): Clinical Letter. JDDG J Dtsch Dermatol Ges. 2014 Nov;12(11):1043–4.
10. Ozsarac M, Karcioglu O, Ayrik C, Somuncu F, Gumrukcu S. Acute coronary ischemia following centipede envenomation: case report and review of the literature. Wilderness Environ Med. 2004;15(2):109–112.
11. Undheim EAB, King GF. On the venom system of centipedes (Chilopoda), a neglected group of venomous animals. Toxicon. 2011 Mar;57(4):512–24.

UDK: 616-001.43:595.62
COBISS.SR-ID 245431052

PDF Banović P. • MD-Medical Data 2017;9(3): 185-187