Envenenamiento por picadura de viuda negra

Abstract

The present work described the clinical case of a 60-year-old patient, resident in Licto parish belonging to the Riobamba canton, without any clinical or surgical antecedents who went to the emergency service for presenting a clinical picture of severe pain in the right hand as referred by animal sting that does not specify but the interrogation define as a Latrodectus is better known as “Viuda Negra” being one of the spider species with clinical importance for its potencially deadly possion. At admission, he presented altered vital signs mainly market hypertension with tensions between 160/80 mmHg and 170/100 mmHg, complementary studies altered as a result of poisoning with markers of high muscle damage between this troponin, myoglobin, CK-MB. Therapy with analgesia is initiated, which is ineffective due to the severity of the conditions, so the specific antidote is sent from the Quito city to which it had to be admitted to intensive care unit for a stricter control until administration of the antidote with which the picture disappears immediately without leaving any sequel. It is concluded that the treatment of poisoning is effective as long as a complete anamnesis of the patient is made and all the factors related to the sting are identified.