Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
The symptoms produced are general, rather than local. As summarized by
Kobert (1901) from a study of twenty-two cases treated in 1888, in the
Kherson (Russia) Government Hospital and Berislaw (Kherson) District
Hospital the typical case, aside from complications, exhibits the
following symptoms. The victim suddenly feels the bite, like the sting
of a bee. Swelling of the barely reddened spot seldom follows. The
shooting pains, which quickly set in, are not manifested at the point of
injury but localized at the joints of the lower limb and in the region
of the hip. The severity of the pain forces the victim to the hospital,
in spite of the fact that they otherwise have a great abhorrence of it.
The patient is unable to reach the hospital afoot, or, at least, not
without help, for there is usually inability to walk. The patient, even
if he has ridden, reaches the hospital covered with cold sweat and
continues to perspire for a considerable period. His expression
indicates great suffering. The respiration may be somewhat dyspnœic,
and a feeling of oppression in the region of the heart is common. There
is great aversion to solid food, but increasing thirst for milk and tea.
Retention of urine, and constipation occur. Cathartics and, at night,
strong narcotics are desired. Warm baths give great relief. After three
days, there is marked improvement and usually the patient is dismissed
after the fifth. This summary of symptoms agrees well with other
trustworthy records.
It would seem, then, that Riley and Howard (1889), who discussed a
number of accounts in the entomological literature, were fully justified
in their statement that "It must be admitted that certain spiders of the
genus _Latrodectus_ have the power to inflict poisonous bites, which may
(probably exceptionally and depending upon exceptional conditions) bring
about the death of a human being."
And yet, until recently the evidence bearing on the question has been
most conflicting. The eminent arachnologist, Lucas, (1843) states that
he himself, had been repeatedly bitten by the Malmigniatte without any
bad effects. Dr. Marx, in 1890, gave before the Entomological Society of
Washington, an account of a series of experiments to determine whether
the bite of _Latrodectus mactans_ is poisonous or not. He described the
poison glands as remarkably small[A] and stated that he had introduced
the poison in various ways into guinea-pigs and rabbits without
obtaining any satisfactory results. Obviously, carefully conducted
experiments with the supposed venom were needed and fortunately they
have been carried out in the greatest detail by Kobert (1901).
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