'I at one point agreed that T venom was not able to cause allergic reactions, now I disagree.
Clinical Toxicology
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Abstracts
Online Publication Date: 26 December 2004
123. Envenomation from a ‘‘Fringed Ornamental’’ Tarantula (Poecilotheria ornata)
Dougherty TJ, Greene TF, Burkey WR, Rodi A. Cape Coral Hospital, Cape Coral FL; Lee Memorial Hospital, Fort
Myers FL.
Background: The ‘‘Fringed Ornamental’’ (Poecilotheria ornata) is an ‘Old World’ tarantula native to Sri Lanka. Lay publications claim its venom to be the most potent of all tarantulas with unsubstantiated reports of coma and paralysis.
The true risk of envenomation, however, is not reported in the medical literature. We report a case of envenomation by this exotic spider. Case Report: A 20-yr-old female was bitten on her right third finger by her pet tarantula. Thirty minutes later she presented to the emergency department, complaining of swelling of her finger, pain radiating up to her axilla, and chest tightness. The patient denied SOB, N/V paresthesias, itching, numbness, or difficulty swallowing. Her vital signs were normal. Her physical exam revealed a puncture wound at the tip of her third right finger, tenderness, and swelling of the pulp surface. No arm swelling, but right axillary tenderness, was noted. Her exam was otherwise unremarkable. Initial treatment included ketorolac 30 mg IV, methyprednisolone 125 mg IV, lorazepam 1 mg. The patient was transferred to In-Pt Toxicology service and was observed overnight. Lab:CBC, CMP and Sed Rate were nl., as were PT/PTT, fibrinogen, and D-dimer. The patient was released on antibiotics, antihistamines, and prednisone. On day 6, she returned, complaining of arthralgias with movement of her third MCP joint, wrist, and elbow with tender axillary lymphadenopathy. Immunological studies were ordered: IgA, IgM were nl, IgG was slightly decreased. IgE was elevated 141 KU/L (nl<114). She was given a medrol dose pack. One week later her symptoms had abated. Conclusions: We report of an envenomation from Poecilotheria ornata with resultant pain and arthralgias successfully treated with steroids and antihistamines. Elevation in serum IgE suggests an allergic response to the venom.
Rook's Textbook of Dermatology (Seventh Edition)
Published Online: 4 Feb 2008
Editor(s): Tony Burns, Stephen Breathnach, Neil Cox, Christopher Griffiths
Print ISBN: 9780632064298 Online ISBN: 9780470750520
Copyright © 1968, 1972, 1979, 1986, 1992, 1998, 2004 by Blackwell Science Ltd
Diseases Caused by Arthropods and other Noxious Animals
Chapter Author: D. A. Burns
www.healthcentral.com/ency/408/002855.html
arjournals.annualreviews.org/....010184.000403
www.sciencedirect.com/science...ba5810ce96393e
www.emedicine.com/emerg/TOPIC550.HTM
www.nlm.nih.gov/medlineplus/e...cle/002855.htm
so more research is needed of course.
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peace
Rev
Fides Non Timet '