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
One of the most careful accounts of death from the sting of the scorpion
is that of Linnell, (1914), which relates to a comparatively small
Malayan species, unfortunately undetermined. The patient, a coolie, aged
twenty, was admitted to a hospital after having been stung two days
previously on the left heel. For cure, the other coolies had made him
eat the head of the scorpion. On admission, the patient complained of
"things creeping all over the body". Temp. 102.8°. On the fourth day he
had paralysis of the legs, and on the fifth day motor paralysis to the
umbilicus, sensation being unaltered. On the sixth day there was
retention of the urine and on the ninth day (first test after third day)
sugar was present. On the thirteenth day the patient became comatose,
but could be roused to eat and drink. The temperature on the following
day fell below 95° and the patient was still comatose. Death fifteenth
day.
Examination of the spinal (lumbar) cord showed acute disseminated
myelitis. In one part there was an acute destruction of the anterior
horn and an infiltration of round cells. In another portion Clarke's
column had been destroyed. The perivascular sheaths were crowded with
small round cells and the meninges were congested. Some of the cells of
the anterior horn were swollen and the nuclei eccentric; chromatolysis
had occurred in many of them.
As for treatment, Castellani and Chalmers (1910), recommend bathing the
part well with a solution of ammonia (one in five, or one in ten). After
bathing, apply a dressing of the same alkali or, if there is much
swelling and redness, an ice-bag. If necessary, hypodermic injections of
morphine may be given to relieve the pain. At a later period
fomentations may be required to reduce the local inflammation.
THE HEXAPODA OR TRUE INSECTS
There are a number of HEXAPODA, or true insects, which are, in one way
or another, poisonous to man. These belong primarily to the orders
Hemiptera, or true bugs; Lepidoptera, or butterflies and moths (larval
forms); Diptera, or flies; Coleoptera, or beetles; and Hymenoptera, or
ants, bees, and wasps. There are various ways in which they may be
poisonous.
1. _Piercing_ or _biting_ forms may inject an irritating or poisonous
saliva into the wound caused by their mouth-parts.
2. _Stinging forms_ may inject a poison, from glands at the caudal end
of the abdomen, into wounds produced by a specially modified ovipositer,
the _sting_.
3. _Nettling_ properties may be possessed by the hairs of the insect.
4. _Vescicating_, or _poisonous blood plasma_, or _body fluids_ are
known to exist in a large number of species and may, under exceptional
circumstances, affect man.
For convenience of discussion, we shall consider poisonous insects under
these various headings. In this, as in the preceding discussion, no
attempt will be made to give an exhaustive list of the poisonous forms.
Typical instances will be selected and these will be chosen largely from
North American species.
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