_Spider bite_ is not so important as scorpion sting, though poisonous
spiders do exist in various parts of the world and belong to a genus
found in Southern Europe, New Zealand, and various parts of North and
South America. Many of these poisonous spiders are brightly coloured,
their abdomens being spotted with vermilion. In Peru there is a so-called
“pruning-spider,” which belongs to another genus and is also poisonous.
_Symptoms._—Locally a reddish papule appears, and there is sharp stinging
pain. The papule is followed by a spreading inflammation which sometimes
goes on to gangrene, though this is rare. The general symptoms are
those of nervous exhaustion and there is high fever, rapid pulse, rapid
breathing, and sometimes blood in the urine.
_Treatment._—Apply a ligature and suck the wound. Use permanganate of
potash locally as in the case of snake-bite. The permanganate should also
be given internally, one-quarter to one per cent. solution being given
every hour or every two hours. Diffusible stimulants such as ammonia,
caffeine, or camphor are useful as diuretics. A strict milk diet should
be enforced during treatment.
_Scurvy._
This is one of the deficiency diseases. This is not to say that mere
general starvation will produce it, but that it is due to the lack of
certain substances in the diet. These substances are known to exist in
fresh fruit and vegetables, and also to a lesser extent in fresh meat and
raw milk, but their exact nature has not yet been determined. Travellers
should remember that, apart from the actual disease, there is a scorbutic
state in which the symptoms are indefinite, and which, if not recognized
and promptly treated, will pass on to true scurvy.
_Symptoms._—Scurvy begins insidiously with progressive weakness, pallor,
loss of weight, and stiffness in the leg muscles. Later the gums become
affected, soft swellings sprouting up between the teeth. As the disease
progresses the gums become swollen and spongy, ulcerate and bleed,
while in bad cases the mouth becomes very offensive and contains large
fungating masses. Other signs of scurvy are hæmorrhages under the skin
and mucous membrane and in the muscles. Any injury is apt to be followed
by hæmorrhage. Swelling of the legs is an important symptom, especially
in the region of the ankles. If untreated, the condition becomes
worse, the appetite is impaired, mental depression sets in, there is
breathlessness on exertion, and night and day blindness. Death results
from heart failure or some complication.
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