中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (9): 687-688.doi: 10.12144/zgmfskin202509687

• 病例报告 • 上一篇    下一篇

蚰蜒叮咬致横纹肌溶解一例

谢莉利,高英丽,卢彬,孙心君   

  1. 济宁医学院附属医院皮肤科，山东济宁，272000
  • 出版日期:2025-09-15 发布日期:2025-09-08

Rhabdomyolysis after thereuonema tuberculata bites: a case report

XIE Lili, GAO Yingli, LU Bin, SUN Xinjun   

  1. Department of Dermatology, Affiliated Hospital of Jining Medical University, Jining 272000, China
  • Online:2025-09-15 Published:2025-09-08

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摘要： 患者,男，19岁，左手被蚰蜒叮咬后出现红肿，伴剧烈疼痛，病情进展迅速，出现黑紫、大疱、糜烂、破溃，肌力下降，肌酸激酶明显增高（17 123 U/L），是正常值上限的55倍。诊断为蚰蜒皮炎并横纹肌溶解。给予甲泼尼龙琥珀酸钠80 mg/d及其他对症治疗。治疗11天后复查肌酶谱、肝功、尿常规均正常，肌力恢复正常。出院35天后随访，患者左手肿胀消退，少许色沉，功能恢复正常。

关键词: 蚰蜒, 叮咬, 横纹肌溶解

Abstract: A 19-year-old male patient developed redness and swelling on his left hand after being bitten by a centipede, accompanied by severe pain. The condition progressed rapidly, presenting with purplish-black discoloration, large blisters, erosion, and ulceration. There was a decrease in muscle strength, and the creatine kinase level was significantly elevated (17 123 U/L), which was 55 times the upper limit of the normal range. The diagnosis was centipede dermatitis complicated with rhabdomyolysis. He was given methylprednisolone sodium succinate 80 mg/day along with other symptomatic treatments. After 11 days of treatment, re-examinations showed that the muscle enzyme profile, liver function, and urine routine were all normal, and muscle strength returned to normal. During the follow-up 35 days after discharge, the swelling of the patient's left hand subsided, with a bit of skin pigmentation remaining, and the hand function returned to normal.

Key words: centipede, bite, rhabdomyolysis