Centipede bites (Class Chilopoda) in Colombia: estimating its incidence, 2009-2015 Categoría: P. Medicina tropical tipo: Oral

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Centipede bites (Class Chilopoda) in Colombia: estimating its incidence, 2009-2015

Tipo: Oral
Rodriguez-Morales AJ,1* Lagos-Grisales GJ,1 Sabogal-Roman JA,1 Cardona-Ospina JA,1 Vera JJ,1 Parra-Valencia E,2 Villamil-Gómez WE,3 Suárez JA.4
1Grupo y Semillero de Investigación Salud Pública e Infección, Facultad de Ciencias de la Salud, Universidad Tecnológica de Pereira, Pereira, Risaralda, Colombia. 2Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile. 3Infectious Diseases and Infection Control Research Group, Hospital Universitario de Sincelejo, Sincelejo, Sucre, Colombia. Programa del Doctorado de Medicina Tropical, SUE Caribe, Universidad del Atlántico, Barranquilla, Colombia. 4Clinical Research Deparment, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panama. *57-3008847448, arodriguezm@utp.edu.co
Introduction: Many species of centipede (Chilopoda) can inflict painful stings through venomous claws (forcipules) arising from the first thoracic segment just behind the mouth parts. The most important genus is Scolopendra (scolopendrism), which is distributed throughout tropical countries. There are none publications about scolopendrism in Colombia.

Methods: Observational, cross-sectional, retrospective study aimed to estimate incidences of scolopendrism in Colombia, 2009-2015, based on data extracted from the personal health records system (Registro Individual de Prestación de Servicios, RIPS), using ICD-10 codes X24.0-X24.9 (Centipede bites). Estimates of adjusted incidence rates were estimated (cases/1,000,000pop).

Results: During the period, 250 cases were reported (median 35/year), for a cumulative national rate of 5.4 cases/1,000,000pop; 56.8% were female; 41.6% were <20 year-old (27.2% <10 year-old). Cases occurred in 35.2% at home (X24.0), 10.4% at farms (X24.7), 5.2% at an industry and construction area (X24.6) 3.6% at schools (X24.2). From the total cases 16.0% were from Atlantico (16.85 cases/1,000,000pop), followed by Antioquia with 12.4% (4.98 cases/1,000,000pop) and Valle with 8.0% (4.47 cases/1,000,000pop). Cases were reported from 26/32 country departments (plus the DC).

Discussion: Local pain, swelling, inflammation and lymphangitis may develop in patients exposed to centipedes. Systemic manifestations are uncommon, although sometimes severe, and may include vomiting, headache, anxiety, dizziness, blurred vision, loss of consciousness, multiple neuropathies, dyspnea, hypotension, bradycardia, irregular peripheral pulses, acute coronary ischemia, myocardial infarction, rhabdomyolysis, proteinuria, acute renal failure and abnormalities of coagulation. The risk of mortality is supposed very low, but fatal cases can also occur.
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