دورية أكاديمية
Obtundation and Myocardial Infarction in a Case of Systemic Loxoscelism.
| العنوان: | Obtundation and Myocardial Infarction in a Case of Systemic Loxoscelism. |
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| المؤلفون: | Schilli KD; Karen Schilli, MS, Ryan Rader, BS, Katie Payne, and William Stoecker, MD, MS, MSMA member since 1984, are with Stoecker & Associates, Rolla, Missouri. Jonathan Green, PhD, is with the University of Missouri College of Agriculture, Food and Natural Resources, Columbia., Rader RK; Karen Schilli, MS, Ryan Rader, BS, Katie Payne, and William Stoecker, MD, MS, MSMA member since 1984, are with Stoecker & Associates, Rolla, Missouri. Jonathan Green, PhD, is with the University of Missouri College of Agriculture, Food and Natural Resources, Columbia., Payne KS; Karen Schilli, MS, Ryan Rader, BS, Katie Payne, and William Stoecker, MD, MS, MSMA member since 1984, are with Stoecker & Associates, Rolla, Missouri. Jonathan Green, PhD, is with the University of Missouri College of Agriculture, Food and Natural Resources, Columbia., Green JA; Karen Schilli, MS, Ryan Rader, BS, Katie Payne, and William Stoecker, MD, MS, MSMA member since 1984, are with Stoecker & Associates, Rolla, Missouri. Jonathan Green, PhD, is with the University of Missouri College of Agriculture, Food and Natural Resources, Columbia., Stoecker WV; Karen Schilli, MS, Ryan Rader, BS, Katie Payne, and William Stoecker, MD, MS, MSMA member since 1984, are with Stoecker & Associates, Rolla, Missouri. Jonathan Green, PhD, is with the University of Missouri College of Agriculture, Food and Natural Resources, Columbia. |
| المصدر: | Missouri medicine [Mo Med] 2014 Mar-Apr; Vol. 111 (2), pp. 143-147. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Missouri State Medical Association Country of Publication: United States NLM ID: 0400744 Publication Model: Print Cited Medium: Internet ISSN: 0026-6620 (Print) Linking ISSN: 00266620 NLM ISO Abbreviation: Mo Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Jefferson City Mo : Missouri State Medical Association Original Publication: St. Louis. |
| مستخلص: | We report an atypical course of a likely brown recluse spider bite in a 79-year-old male. The Rader scale and Loxosceles reclusa venom detection by ELISA provide supporting evidence for a loxoscelism diagnosis. Obtundation and myocardial infarction occurred following a drop in hemoglobin to 6.5g/dL. The rapid loss of blood volume was considered a significant etiologic factor for both the obtundation and myocardial infarction. The neurological symptoms reversed rapidly after packed red blood cell transfusion. Competing Interests: Disclosure Conflict of Interest Disclosure: Dr. Stoecker and Dr. Green hold US Patent 7,927,828 for the ELISA detection of Loxosceles reclusa envenomation. Dr. Stoecker is also CEO and President of SpiderTek, LLC, a medical diagnostic company tasked with developing brown recluse spider traps and diagnostic assays. No other authors report any conflicts of interest. |
| References: | J Am Acad Dermatol. 2001 Apr;44(4):561-73; quiz 573-6. (PMID: 11260528) J Am Osteopath Assoc. 2000 Jan;100(1):29-32. (PMID: 10693314) J Toxicol Clin Toxicol. 1983-1984;21(4-5):451-72. (PMID: 6381752) J Am Acad Dermatol. 2006 Nov;55(5):888-90. (PMID: 17052500) Can Med Assoc J. 1961 Jan 14;84:112-3. (PMID: 13691153) JAMA. 2005 Apr 6;293(13):1653-62. (PMID: 15811985) Mo Med. 2009 Nov-Dec;106(6):425-7, 431. (PMID: 20063514) Toxicon. 2012 Jul;60(1):1-3. (PMID: 22465494) N Engl J Med. 2005 Feb 17;352(7):700-7. (PMID: 15716564) Arch Dermatol. 2005 May;141(5):595-7. (PMID: 15897381) Toxicon. 2003 Sep 15;42(4):413-8. (PMID: 14505942) |
| معلومات مُعتمدة: | R43 AR055863 United States AR NIAMS NIH HHS; R44 AR055863 United States AR NIAMS NIH HHS |
| تواريخ الأحداث: | Date Created: 20181017 Latest Revision: 20191120 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC6179499 |
| PMID: | 30323528 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0026-6620 |
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