A venomous katipo spider bite on his penis was the high price a tourist paid for a skinny-dip at a Northland beach.
The 22-year-old Canadian left his clothes in the sand dunes while hewent for his nude swim and slept on his return, according to a reporton the case in today's online NZ Medical Journal.
"He woke to find his penis swollen and painful with ared mark on the shaft suggestive of a bite. He rapidly developedgeneralised muscle pains, fever, headache, photophobia [lightsensitivity] and vomiting," wrote Dr Nigel Harrison and colleagues whotreated him at Dargaville and Whangarei hospitals.
By the time the man reached Dargaville Hospital, hispenis was severely swollen, his blood pressure was up and his heartbeat racing.
Chest pain and other symptoms developed the nextmorning and it was presumed he had been bitten by a katipo. He wastreated with anti-venom medicine and rapidly improved.
However, heart problems persisted and he was treated at Whangarei Hospital and Auckland Hospital before returning to Canada.
Katipo spiders are known to have a highly specialised habitat in NewZealand sand dunes and will bite only rarely, and in defence.
This was the first known case of myocarditis, or heart inflammation, caused by a bite, Dr Harrison said.
A prompt diagnosis and the use of anti-venom resulted in a good outcome for the tourist, he said.作者: 独臂刀 时间: 2010-5-14 12:03:59
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