Unconscious Woman in Shock and Covered with Ants Pulled from an Abandoned Automobile

Copyright © 2019 Elsevier Inc. All rights reserved..

BACKGROUND: A middle-aged woman was taken from an abandoned automobile unconscious and covered with ants in Tucson, Arizona. When hospitalized in July 2018, she had an extensive papular-pustular skin eruption on her abdomen and thigh and disseminated intravascular coagulation. She was stung innumerable times by native golden fire ants (Solenopsis aurea) while sleeping in the vehicle. The large amount of venom injected by stings into this individual may have triggered dissemnated intravascualar coagulation because the venom contains powerful hemolytic factors.

METHODS: The patient history is presented and ants were captured and identified.

RESULTS: Clinical findings of fire ant stings are presented and the importance of recognizing the distinctive skin lesions that occur is emphasized. Stings of the red imported fire ant, Solenopsis invicta, and the black imported fire ant, Solenopsis richteri, cause skin lesions recognized by physicians and victims alike in the southern and southeastern United States. Native fire ant stings are documented much less often. However, there is significant cross-reactivity among the venoms of Solenopsis species.

CONCLUSION: It is important for clinicians to recognize the characteristic skin lesions of fire ant envenomation as fire ant populations are expanding and they sting millions of people each year.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:132

Enthalten in:

The American journal of medicine - 132(2019), 10 vom: 15. Okt., Seite 1239-1241

Sprache:

Englisch

Beteiligte Personen:

Bernaba, Michael [VerfasserIn]
Power, Emilio [VerfasserIn]
Campion, Janet [VerfasserIn]
Gotzek, Dietrich [VerfasserIn]
Schmidt, Justin O [VerfasserIn]
Klotz, Stephen A [VerfasserIn]

Links:

Volltext

Themen:

Ant Venoms
Ant venoms
Case Reports
Disseminated intravascular coagulation
Fire ant stings
Journal Article
Native fire ants
Skin papules and pustules
Solenopsis stings

Anmerkungen:

Date Completed 09.03.2020

Date Revised 09.03.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.amjmed.2019.02.053

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM295751908