ErgotismT46.5
Synonym(s)
Saint Anthony's fire
DefinitionThis section has been translated automatically.
Arterial vasospastic circulatory disorders as a result of chronic poisoning with substances containing ergotamine (migraine medication). The poisoning by alkaloids of ergot, which used to lead to mass diseases, is extremely rare today (see Lolch.
ManifestationThis section has been translated automatically.
The arteries of the extremities (e.g. digital arteries) are particularly affected.
Clinical featuresThis section has been translated automatically.
Clinically, the symptoms of an arterial circulatory disorder and neurological symptoms such as cramps or contractures are evident.
General therapyThis section has been translated automatically.
Stop taking medication containing ergotamine. Cooperation with neurologists and internists.
External therapyThis section has been translated automatically.
Symptomatic stage-appropriate therapy of the skin changes. See also wound treatment.
Internal therapyThis section has been translated automatically.
In severe cases, attempt vasodilatory acute medication, e.g. with calcium antagonists such as nifedipine (e.g. Adalat) 0.1-0.2 mg i.v. or 10 mg sublingual or glycerol nitrate (e.g. Nitrolingual spray).In case of superinfection initial broad-spectrum antibiotics e.g. with cephalosporins such as cefotaxime (e.g. claforan 2 times 2 g/day i.v.) or gyrase inhibitors such as ciprofloxacin (e.g. Ciprobay 250-500 mg/day p.o.). As soon as possible antibiotic therapy after antibiogram.