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We describe the clinical course of four children envenomated by C exilicauda,each presenting with an unusual or unusually severe manifestation of this event.Two required endotracheal intubation for respiratory failure and metabolic acidosis.Two had marked elevations of creatine phosphokinase(CPK),and one had a severe multiorgan system disease process.Two were noted to have pleocytosis of the cerebrospinal fluid (CSF),a finding not previously reported in the medical literature. |
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