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Millipede Envenomation Differential Diagnoses

  • Author: Robert L Norris, MD; Chief Editor: Scott H Plantz, MD, FAAEM  more...
 
Updated: May 09, 2014
 
 

Diagnostic Considerations

Trash foot[11]

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Robert L Norris, MD Professor, Department of Emergency Medicine, Stanford University Medical Center

Robert L Norris, MD is a member of the following medical societies: American College of Emergency Physicians, Society for Academic Emergency Medicine, International Society of Toxinology, American Medical Association, California Medical Association, Wilderness Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

John T VanDeVoort, PharmD Regional Director of Pharmacy, Sacred Heart and St Joseph's Hospitals

John T VanDeVoort, PharmD is a member of the following medical societies: American Society of Health-System Pharmacists

Disclosure: Nothing to disclose.

Richard H Sinert, DO Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, Research Director, State University of New York College of Medicine; Consulting Staff, Vice-Chair in Charge of Research, Department of Emergency Medicine, Kings County Hospital Center

Richard H Sinert, DO is a member of the following medical societies: American College of Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Scott H Plantz, MD, FAAEM Associate Clinical Professor of Emergency Medicine, Department of Emergency Medicine, University of Louisville School of Medicine

Scott H Plantz, MD, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

Additional Contributors

James Li, MD Former Assistant Professor, Division of Emergency Medicine, Harvard Medical School; Board of Directors, Remote Medicine

Disclosure: Nothing to disclose.

References
  1. Hare T. Poisonous Dwellers of the Desert. Tucson, AZ: Southwest Parks and Monuments Association; 1995.

  2. Peters S. A Colour Atlas of Arthropods in Clinical Medicine. Barcelona, Spain: Wolfe Publishing Ltd; 1992.

  3. Williams LA, Singh PD, Caleb-Williams LS. Biology and biological action of the defensive secretion from a Jamaican millipede. Naturwissenschaften. 1997. 84(4):143-4. [Medline].

  4. Shimizu N, Kuwahara Y, Yakumaru R, Tanabe T. n-Hexyl laurate and fourteen related fatty acid esters: new secretory compounds from the julid millipede, Anaulaciulus sp. J Chem Ecol. 2012 Jan. 38(1):23-8. [Medline].

  5. Hendrickson RG. Millipede exposure. Clin Toxicol (Phila). 2005. 43(3):211-2. [Medline].

  6. Mason GH, Thomson HD, Fergin P, Anderson R. Spot diagnosis. The burning millipede. Med J Aust. 1994 Jun 6. 160(11):718, 726. [Medline].

  7. Radford AJ. Giant millipede burns in Papua New Guinea. P N G Med J. 1976 Sep. 18(3):138-41. [Medline].

  8. Radford AJ. Millipede burns in man. Trop Geogr Med. 1975 Sep. 27(3):279-87. [Medline].

  9. Dar NR, Raza N, Rehman SB. Millipede burn at an unusual site mimicking child abuse in an 8-year-old girl. Clin Pediatr (Phila). 2008 Jun. 47(5):490-2. [Medline].

  10. De Capitani EM, Vieira RJ, Bucaretchi F, Fernandes LC, Toledo AS, Camargo AC. Human accidents involving Rhinocricus spp., a common millipede genus observed in urban areas of Brazil. Clin Toxicol (Phila). 2011 Mar. 49(3):187-90. [Medline].

  11. Verma AK, Bourke B. Millipede burn masquerading as trash foot in a paediatric patient. ANZ J Surg. 2014 May. 84(5):388-90. [Medline].

  12. Hudson BJ, Parsons GA. Giant millipede 'burns' and the eye. Trans R Soc Trop Med Hyg. 1997 Mar-Apr. 91(2):183-5. [Medline].

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The desert millipede, Orthoporus ornatus. Photo by Robert Norris, MD.
The desert millipede, Orthoporus ornatus. Photo by Robert Norris, MD.
Millipede contact injury on day 3 following exposure.
 
 
 
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