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Gila Monster Bite


Presentation

  • Make the most of your limited time with easy-to-digest blocks of information, consistently presented for clear readability and quick reference.[books.google.com]
  • Pain is always present and has been described as burning and intense, usually peaking in intensity at 15 to 45 minutes and persisting for up to 24 hours.[deseretnews.com]
  • The clinical presentation of a helodermatid bite can include pain, edema, hypotension, nausea, vomiting, weakness, and diaphoresis. No antivenin is commercially available.[ncbi.nlm.nih.gov]
  • Even when present, Gila monsters are hard to spot, mainly because they spend 95% of their active time in burrows or under rocks. Below is a video of the fascinating creature who made NHMU a home for six months. Video by Mark Johnston. NHMU.[nhmu.utah.edu]
Pain
  • Pain is an important finding because up to 30 percent of all bites result in no venom being injected. The pain may radiate quickly and intensify within the first hour after the bite.[deseretnews.com]
  • "It's the most painful thing. It's more painful then a rattlesnake bite. I knew it was bad," Machen told reporters. Machen's arm reportedly ballooned to three times the girth it was before the bite.[upi.com]
  • The patient's pain subsided spontaneously soon after admission. We were thus able to avoid the use of narcotics, some of which potentiate Gila venom. Electrocardiographic findings on admission[jamanetwork.com]
  • Immediate signs and symptoms included pain at the bite site radiating into the arm and axilla and swelling of the hand and forearm.[ncbi.nlm.nih.gov]
  • The bite is described as extremely painful, although initial pain is generally confined to the area of the bite.[azpoison.com]
Swelling
  • The Arizona Poison and Drug information Center says victims of Gila monster bites may experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever.[arizonaalumni.com]
  • Doctors will be required to perform surgery on Machen's arm if the swelling doesn't subside, KRQE-KBIM reported.[upi.com]
  • Local signs include slowly progressing swelling, bluish discoloration around the bite site and superficial bleeding. Occasionally reports of "blinding lights," bulging eyes and increased pulse rate have been reported.[deseretnews.com]
  • These injuries can cause severe swelling and may damage underlying tissues, blood vessels, nerves, joints, or bones. The force may cause the skin to split open or scrape off.[northshore.org]
Weakness
  • The Arizona Poison and Drug information Center says victims of Gila monster bites may experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever.[arizonaalumni.com]
  • The clinical presentation of a helodermatid bite can include pain, edema, hypotension, nausea, vomiting, weakness, and diaphoresis. No antivenin is commercially available.[ncbi.nlm.nih.gov]
  • Victims may also experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever. Some people have experienced severe reactions resulting in breathing difficulties.[azpoison.com]
  • More general symptoms may include: Weakness. Dizziness. Nausea and vomiting. Profuse sweating. Trouble breathing. Symptoms of a severe allergic reaction .[northshore.org]
  • More general symptoms may include: Weakness. Dizziness. Nausea and vomiting. Profuse sweating. Trouble breathing. Symptoms of a severe allergic reaction.[uofmhealth.org]
Chills
  • The Arizona Poison and Drug information Center says victims of Gila monster bites may experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever.[arizonaalumni.com]
  • .— We recently encountered a 20-year-old preveterinary student who was bitten by one of his five pet Gila monsters ( Heloderma suspectum ) and was seen in the emergency room with severe pain, chills, nausea, and tense edema of the left hand and arm.[jamanetwork.com]
  • Victims may also experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever. Some people have experienced severe reactions resulting in breathing difficulties.[azpoison.com]
Fever
  • The Arizona Poison and Drug information Center says victims of Gila monster bites may experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever.[arizonaalumni.com]
  • Nevertheless, each year a handful of people do get close enough to discover that the gila monster’s bite delivers a painful cocktail of chemicals that causes nausea, fever and faintness – and can even induce a heart attack.[newscientist.com]
  • Victims may also experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever. Some people have experienced severe reactions resulting in breathing difficulties.[azpoison.com]
Hemophilia A
  • Stay up to date with new chapters on Clotting Disorders and Hemophilia, Patient-Centered Care, Health Disparities and Diversity in Emergency Medicine, Cost-Effectiveness Analysis, Antibiotic Recommendations for Empirical Treatment of Selected Infectious[books.google.com]
Nausea
  • The Arizona Poison and Drug information Center says victims of Gila monster bites may experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever.[arizonaalumni.com]
  • .— We recently encountered a 20-year-old preveterinary student who was bitten by one of his five pet Gila monsters ( Heloderma suspectum ) and was seen in the emergency room with severe pain, chills, nausea, and tense edema of the left hand and arm.[jamanetwork.com]
  • Other uncommon symptoms may include nausea, vomiting, headache and shock. Misconceptions and myths about Gila monsters exist.[deseretnews.com]
  • Systemic complaints of nausea, diaphoresis, and dizziness (without a decrease in blood pressure) lasted approximately 1 hour, and laboratory studies were normal.[ncbi.nlm.nih.gov]
  • Nevertheless, each year a handful of people do get close enough to discover that the gila monster’s bite delivers a painful cocktail of chemicals that causes nausea, fever and faintness – and can even induce a heart attack.[newscientist.com]
Nausea
  • The Arizona Poison and Drug information Center says victims of Gila monster bites may experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever.[arizonaalumni.com]
  • .— We recently encountered a 20-year-old preveterinary student who was bitten by one of his five pet Gila monsters ( Heloderma suspectum ) and was seen in the emergency room with severe pain, chills, nausea, and tense edema of the left hand and arm.[jamanetwork.com]
  • Other uncommon symptoms may include nausea, vomiting, headache and shock. Misconceptions and myths about Gila monsters exist.[deseretnews.com]
  • Systemic complaints of nausea, diaphoresis, and dizziness (without a decrease in blood pressure) lasted approximately 1 hour, and laboratory studies were normal.[ncbi.nlm.nih.gov]
  • Nevertheless, each year a handful of people do get close enough to discover that the gila monster’s bite delivers a painful cocktail of chemicals that causes nausea, fever and faintness – and can even induce a heart attack.[newscientist.com]
Vomiting
  • The Arizona Poison and Drug information Center says victims of Gila monster bites may experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever.[arizonaalumni.com]
  • Other uncommon symptoms may include nausea, vomiting, headache and shock. Misconceptions and myths about Gila monsters exist.[deseretnews.com]
  • The clinical presentation of a helodermatid bite can include pain, edema, hypotension, nausea, vomiting, weakness, and diaphoresis. No antivenin is commercially available.[ncbi.nlm.nih.gov]
  • Victims may also experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever. Some people have experienced severe reactions resulting in breathing difficulties.[azpoison.com]
  • Nausea and vomiting. Profuse sweating. Trouble breathing. Symptoms of a severe allergic reaction . If you think you have been bitten by a poisonous lizard, call 911 or other emergency services immediately .[northshore.org]
Vomiting
  • The Arizona Poison and Drug information Center says victims of Gila monster bites may experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever.[arizonaalumni.com]
  • Other uncommon symptoms may include nausea, vomiting, headache and shock. Misconceptions and myths about Gila monsters exist.[deseretnews.com]
  • The clinical presentation of a helodermatid bite can include pain, edema, hypotension, nausea, vomiting, weakness, and diaphoresis. No antivenin is commercially available.[ncbi.nlm.nih.gov]
  • Victims may also experience localized swelling, nausea, vomiting, high blood pressure, weakness, faintness, excessive perspiration, chills and fever. Some people have experienced severe reactions resulting in breathing difficulties.[azpoison.com]
  • Nausea and vomiting. Profuse sweating. Trouble breathing. Symptoms of a severe allergic reaction . If you think you have been bitten by a poisonous lizard, call 911 or other emergency services immediately .[northshore.org]
Hypotension
  • Abstract We report the case of a 40-year-old man who developed life-threatening angioedema and hypotension following the bite of a Gila monster (Heloderma suspectum), a venomous lizard of the southwestern United States.[ncbi.nlm.nih.gov]
  • Abstract We report a 23-year-old man who developed life threatening hypotension, myocardial infarction, coagulopathy, and renal failure following the bite of a Gila monster (Heloderma suspectum).[ncbi.nlm.nih.gov]
  • The clinical presentation of a helodermatid bite can include pain, edema, hypotension, nausea, vomiting, weakness, and diaphoresis. No antivenin is commercially available.[ncbi.nlm.nih.gov]
Angioedema
  • Abstract We report the case of a 40-year-old man who developed life-threatening angioedema and hypotension following the bite of a Gila monster (Heloderma suspectum), a venomous lizard of the southwestern United States.[ncbi.nlm.nih.gov]
Erythema
  • During a period of observation, erythema and edema progressed from the forearm to the axilla and he developed a significant leukocytosis. No purulence was found upon surgical evaluation.[tandfonline.com]
Suggestibility
  • Various methods have been suggested for removing the attached lizard, including forcing the jaws apart with a screwdriver or stick, holding a flame under the lower jaw, submerging the attached lizard in water, or as a last resort, grabbing the lizard's[deseretnews.com]
  • The Arizona Poison and Drug Information Center suggests placing a strong stick between the bitten part and the back of the lizard's mouth and pushing against the rear of the jaw.[kdminer.com]
Dizziness
  • Systemic complaints of nausea, diaphoresis, and dizziness (without a decrease in blood pressure) lasted approximately 1 hour, and laboratory studies were normal.[ncbi.nlm.nih.gov]
  • Dizziness. Nausea and vomiting. Profuse sweating. Trouble breathing. Symptoms of a severe allergic reaction . If you think you have been bitten by a poisonous lizard, call 911 or other emergency services immediately .[northshore.org]
  • Dizziness. Nausea and vomiting. Profuse sweating. Trouble breathing. Symptoms of a severe allergic reaction. If you think you have been bitten by a poisonous lizard, call 911 or other emergency services immediately.[uofmhealth.org]
Agitation
  • The Gila monster is a shy reptile that is not prone to attacking humans unless significantly agitated. It emerges from hibernation in January or February and mates in May and June. The female lays eggs in July or August.[arizonaalumni.com]
  • They are described as shy and retiring reptiles, not prone to attacking humans unless they are significantly agitated. Arizona laws protect these fascinating animals from being captured or held in any manner.[azpoison.com]
  • Described as docile, they are not prone to attacking humans, but will do so if agitated. "The bad thing is they have sharp teeth and once they clamp down, they won't let go.[kdminer.com]
Headache
  • Other uncommon symptoms may include nausea, vomiting, headache and shock. Misconceptions and myths about Gila monsters exist.[deseretnews.com]

Workup

Treatment

  • He recovered after treatment with IV fluids, epinephrine, antihistamines, and corticosteroids.[ncbi.nlm.nih.gov]
  • The patient recovered after fluid resuscitation and treatment with pressor agents.[ncbi.nlm.nih.gov]
  • Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual.[books.google.com]
  • Treatment is supportive, and although first aid measures such as suction or compression may impede venom movement, they are unproved. Cryotherapy, tourniquet, and excision are dangerous and should not be used.[ncbi.nlm.nih.gov]
  • There is no antivenom available for treatment of Gila monster bite. Want to see more? View this short video clip featuring Arizona Poison and Drug Information Center's very own Gila monster, rescued by the Arizona Game and Fish Department.[azpoison.com]

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