• J Emerg Med · Aug 2011

    Review Case Reports

    Suspected brown recluse envenomation: a case report and review of different treatment modalities.

    • Rebecca J Andersen, Jennifer Campoli, Sandeep K Johar, Katherine A Schumacher, and E Jackson Allison.
    • Department of Emergency Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, New York, USA.
    • J Emerg Med. 2011 Aug 1;41(2):e31-7.

    BackgroundThe Loxosceles reclusa, commonly known as the brown recluse spider, is responsible for virtually all cases of spider bites leading to a significant necrosis.Case ReportWe report the case of a 72-year-old man who presented to the Emergency Department complaining of back pain, weakness, and diarrhea. The patient stated that he sustained a bug bite 1 week before presenting to the hospital. His wound was necrotizing in nature and after an exhaustive work-up, the most likely etiology was found to be envenomation by a brown recluse spider, Loxosceles reclusa.ConclusionThis is an endemic cause of a necrotizing wound bite in areas of the Midwestern and Southern United States, but it is rarely reported in the Northeast.Copyright © 2011 Elsevier Inc. All rights reserved.

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