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J Korean Soc Emerg Med > Volume 19(2); 2008 > Article
Journal of The Korean Society of Emergency Medicine 2008;19(2): 200-204.
A Clinical Analysis of 179 Cases of Centipede Bite Patients Who Visited the Emergency Department in Korea
Jung Hoon Kwon, Seung Hwan Seol, Sang Cheon Choi, Gi Woon Kim, Hyun Chul Yuh, Sung Won Yang, Jae Bong Chung, Jong Do Jung
1Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Republic of Korea. flyingguy@ajou.ac.kr
2Department of Emergency Medicine, Halla Hospital, Jeju, Republic of Korea.
3Department of Emergency Medicine, Daewoo Hospital, Geoje, Republic of Korea.
ABSTRACT
PURPOSE:
To investigate the epidemiology and clinical characteristics of centipede bite injuries.
METHODS:
We conducted a retrospective study of clinical manifestations in patients who were identified between April 2005 to April 2007 as having suffered from centipede bites. Factors evaluated included sex, age, location and time of bite, part of body affected, clinical signs and symptoms, treatment modalities and complications.
RESULTS:
A total of 179 cases of centipede bite were identified. Centipede bites occurred between spring and autumn. 69.3% of bites happened at night. All patients were bitten on an exposed body parts, and the digit of both the handsand feet were the sites most often involved. Pain, swelling, erythema were the most frequent symptoms and signs. Most cases showed minor manifestations but, three patients needed to be admitted because of anaphylaxis.
CONCLUSION:
Centipede bites are relatively common in the summer season in rural and island areas, especially at night. Though the clinical symptoms of centipede bites are generally minor symptoms, emergency physicians need to possess accurate knowledge of the clinical manifestations in order to properly identify severe cases.
Key words: Arthropods, Bites and Stings, Anaphylaxis
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