Presentation
Physical Examination
Physical findings due to centipede envenomation may include the following:
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Local edema
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Small puncture wounds (may be difficult to see)
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Erythema [17]
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Ecchymosis
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Lymphangitis and/or lymphadenopathy
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Occasionally vesicles or blisters
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Possibility of local necrosis
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The patient may be noticeably uncomfortable or anxious
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Complications
Complications of centipede envenomation may include the following:
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Secondary infection
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Wound necrosis (uncommon)
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Rare compartment syndrome, rhabdomyolysis, myoglobinuria, and acute renal failure
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Possible coronary vasospasm and acute myocardial infarction
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Anaphylaxis (Patients with a history of hymenoptera sensitivity may be at higher risk. [5] )
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Complex regional pain syndrome type 1 reported in at least 1 patient [18]
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Media Gallery
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Giant desert centipede. Photo by Michael Cardwell.
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