Millipede Envenomation Clinical Presentation

Updated: Jun 18, 2018
  • Author: Steven A Lorber, MD, FAAEM, FACEP; Chief Editor: Joe Alcock, MD, MS  more...
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Presentation

History

The history may indicate that a patient was handling a millipede. On occasion, the history of a patient (eg, a sleeping victim, small child) may be obscure. [15, 16, 17, 18, 19]

  • Skin irritation

  • Pain

  • Brown staining at the site of contact

  • Slight blistering

  • Eye irritation and pain

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Physical Examination

Physical examination findings include the following:

  • Local erythema

  • Mild edema

  • Vesicles

  • Occasionally, cracked skin that may slough and then heal

  • Conjunctivitis, which may lead to ulceration of the conjunctiva and cornea

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Complications

Cutaneous exposures generally heal without complications.

Conjunctivitis or corneal ulcerations can complicate eye exposures.

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