- 期刊
Millipede Burn - An Uncommon Mimic of Acute Limb Ischemia
馬陸燙傷－一種擬似於急性肢體缺血的罕見診斷
摘要
Background: Millipedes, common arthropods found in household environments, present subtle yet noteworthy biological hazards to humans. Millipede burns occur upon contact with the secretions of these creatures. Clinical symptoms involve localized itching, a burning sensation, skin discoloration, and blister formation. This constellation of symptoms has led to the term "millipede burn." Aim and Objectives: To comprehend the clinical manifestations, potential complications, and warning signs of millipede burn while exploring related treatment modalities. Materials and Methods: A 16-year-old young man presented to the emergency room with deep reddishbrown to black discoloration on the right foot's first to third toes and sporadic areas on the dorsal foot, along with localized burning, tingling sensation and blisters. Initial assessment and laboratory data showed no signs of infection or vascular occlusion. Detailed history revealed the presence of a millipede in the patient's footwear, leading to a suspected diagnosis of millipede burn. The affected site was managed with irrigation and topical antibiotic ointment. Results: The patient reported reduced tingling sensations a week after discharge, but skin discoloration persisted. However, at the three-week follow-up, there was a gradual fading of discoloration. The affected area exhibited an almost normal skin appearance and laxity two to three months later. Conclusion: This case underscores the clinical features of millipede burns, which indeed bear resemblance to acute limb ischemia. Conservative management is recommended, and advanced intervention are not warranted.
並列摘要
背景：馬陸是一種常見於居家環境的節肢動物，會對人類造成輕微但值得注意的生物性危害。當與這些生物的分泌物接觸時，可能會發生馬陸燙傷，因其成分中含有醌、醛和氫氰酸等化合物。馬陸燙傷的好發位置在手部、腳部和眼睛，臨床症狀包括局部瘙癢、灼熱感、皮膚變色和水泡形成。這一系列近似於燙傷的症狀使其獲得「馬陸燙傷」這一診斷命名。目的及目標：了解馬陸燙傷的臨床表現、潛在併發症以及警示信號，同時探討相關的治療方法。材料及方法：一名16歲男性患者前往急診，主訴右腳第一至第三趾間及足背區域呈現深紅褐至黑色變色，同時伴隨局部燒灼和刺痛感。理學檢查在第一趾間可觀察到水泡形成。初步評估和實驗室數據未顯示有感染或血管閉塞的徵象。由於患者提及返家後發現鞋內有馬陸存在，因此確立了馬陸燙傷的診斷，並於患部接受沖洗和局部抗生素藥膏治療。結果：患者在出院一周後刺痛感減少，但皮膚變色仍持續存在。在三週後的追蹤檢查中，皮膚變色逐漸淡化。在兩到三個月後，受影響區域呈現幾乎正常的皮膚外觀和彈性。結論：此案例凸顯了馬陸燙傷的臨床特徵，其外觀表徵可能與急性肢體缺血相似。建議採取保守治療，不需要進行過度的醫療介入。