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Correspondence
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Volume 340:657 February 25, 1999 Number 8
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Successful Treatment of Latrodectism with Antivenin after 90 Hours

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To the Editor: A 13-year-old boy awoke from sleep with a sharp pain on the left side of his neck. He killed a large black spider in the bed. Because of local neck pain and muscle cramps migrating into his chest, abdomen, and legs, he sought care at a nearby hospital. Treatment with 6.5 ml of 10 percent calcium gluconate, 50 mg of meperidine, and a combination of hydrocodone and acetaminophen (Vicodin) resulted in only minor relief of his symptoms. Despite being unable to walk, he was discharged after 24 hours.

The patient sought care at the emergency department of . . . [Full Text of this Article]

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