Cardiovascular manifestations and compartment syndrome associated with bite by Phoneutria spp: case report
Article Sidebar
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Downloads
Societal impact
Main Article Content
Abstract
The characteristics of phoneutrism are described in relation to a case. Phoneutrism is the term with which the accident caused by the bite of the phoneutria spp spider is known, which has clinical relevance given by the toxic characteristics of its venom. We present a case of a bite by the phoneutria spp spider in a patient treated at a high-complexity hospital in the city of Medellín, Colombia, with cardiovascular manifestations and findings compatible with compartment syndrome, which is unusual in this type of spiders, and required surveillance in a high dependency unit and cutaneous fasciotomy. In Colombia reporting this type of accident is not mandatory; therefore, there is a high risk of underreporting. What is striking about this case is the cardiovascular manifestations and the presence of compartment syndrome that has not been described in the literatura with this genre of spiders.
Article Details
References
Mena L, Vargas C, Lachira A. Phoneutrismo: reporte de un caso clínico. Acta Med Peru. 2016; 33(1):70-4.
Almeida A, Andrade A, Ferreira A, Pires A, Damasceno D. Antiarrhythmogenic effects of a neurotoxin from the spider Phoneutria nigriventer. Toxicon. 2011: 57(2):217-224.
Isbister G, Wen H. Spider Bite. Lancet 2011; 378:2039- 2047.
Isbister G, Graudins A, White J, Warrell D. Antivenom treatment in arachnidism. J Toxicol Clin Toxicol. 2003; 41(3):291–300.
Vetter R, Isbister G. Medical aspects of spider bites. Annu Rev Entomol. 2008; 53:409–29.
Gómez M, Kalapothakis E, Guatimosim C, Prado M. Phoneutria Nigriventer venom. A cocktail of toxins that affect ion channels. Cell Mol Neurobiol. 2002; 22:579-588.
Costa SK, Moreno H Jr, Brain SD, De Nucci G, Antunes E. The effect of Phoneutria nigriventer (armed spider) venom on arterial blood pressure of anaesthetised rats. Eur J Pharmacol. 1996; 298(2):113-20.
Bucaretchi F, Mello S, Vieira R, Mamoni R, Souza M, Antunes E, et al. Systemic envenomation caused by the wondering spider Phoneutria nigriventer, with quantification of circulation venom. Clinical Toxicology. 2008; 46(9):885-9.
Díaz JH. The global epidemiology, syndromic classification, management, and prevention of spider bites. Am J Trop Med Hyg. 2004; 71(2):239-50.
Vargas M, Arquíñigo S, Belaúnde J, Arfinengo M, Villón A. Primer reporte de Phoneutrismo en el Perú. Presentación de dos casos. Rev Med Hered. 2008; 19(3):128.
Mena L, Maguiña C, Lachira A. Phoneutrismo en Piura: reporte de un caso clínico. Acta Med Peru. 2016; 33(1):70-4.
Fernandes FF, Moraes JR, Dos Santos JL, Soares TG, Gouveia VJP, Matavel ACS, et al. Comparative venomic profiles of three spiders of the genus Phoneutria. J Venom Anim Toxins Incl Trop Dis. 2022; 28:e20210042.
Gómez JP, Gómez CC. Arañas de importancia clínica-epidemiológica en Colombia. Revista Biosalud. 2019; 18(1):108-129.
White J, Hender E, Hirst D. 36 cases of bites by spiders, including the white‐tailed spider, Lampona
cylindrata. Medical Journal of Australia. 1989; 150(7):401–403.
Quintana J, Otero R. Envenenamiento aracnídico en las Américas. Med Unab. 2002; 5(13):1-9.
Gewehr C, Oliveira SM, Rossato MF, Trevisan G, Dalmolin GD, Rigo FK, et al. Mechanism involved
in the nociception triggered by the venom of the armed spider phoneutria nigriventer. Plos
Negl Trop Dis. 2013; 7(4):e2198.
Duckworth AD, McQueen MM. The diagnosis of acute compartment syndrome: A critical analysis
review. JBJS Rev. 2017; 5(12):e1.
Cohen J, Bush S. Case report: Compartment syndrome after a suspected black widow spider
bite. Ann Emerg Med. 2005; 45(4):414-6.
Matteucci MJ, Williams SR, Clark RF. Response to Latrodectus-associated compartment syndrome.
Ann Emerg Med. 2005; 45(6):679-80.