e-Article
Centipede envenomation: bringing the pain to Hawai'i and Pacific Islands.
Document Type
Academic Journal
Author
Fenderson JL; Department of Medicine, Tripler Army Medical Center, Honolulu, HI 96859.
Source
Publisher: University Clinical, Education & Research Associates (UCERA) Country of Publication: United States NLM ID: 101579076 Publication Model: Print Cited Medium: Internet ISSN: 2165-8242 (Electronic) Linking ISSN: 21658242 NLM ISO Abbreviation: Hawaii J Med Public Health Subsets: MEDLINE
Subject
Language
English
Abstract
Scolopendra subspinipes is the only clinically significant centipede found in Hawai'i. Envenomation typically leads to extreme localized pain, erythema, induration, and tissue necrosis and possible lymphedema or lymphangitis. Mortality is uncommon and results from secondary infection or anaphylaxis. Management is supportive and includes wound care, pain control, and treatment with topical or oral antihistamines and anti-inflammatory medications.