Articles: spider-bites.
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Case Reports
Systemic loxoscelism in the age of community-acquired methicillin-resistant Staphylococcus aureus.
The increase in cases of community-acquired methicillin-resistant Staphylococcus aureus (MRSA), as well as its isolation from the majority of skin and soft tissue abscesses in the emergency department, requires the emergency physician to consider this diagnosis in all skin or soft tissue infections. However, making the diagnosis of MRSA when the wound is actually a cutaneous lesion of a brown recluse spider bite may have untoward consequences. Furthermore, the clinical manifestations of systemic loxoscelism may be misdiagnosed as a systemic staphylococcal infection. We present a patient with systemic loxoscelism who was diagnosed with a systemic infection and received an unnecessary surgical procedure.
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Little data exist regarding the optimal treatment and outcomes of pregnancies complicated by black widow spider envenomation. Our objective is to evaluate the clinical effects, medical outcomes, and treatment differences between pregnant and nonpregnant women. ⋯ Black widow spider envenomation is a rare occurrence in pregnant women and the short-term outcomes appear to be favorable.
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Case Reports
Acute generalized exanthematous pustulosis with lymphangitis triggered by a spider bite.
Acute generalized exanthematous pustulosis (AGEP) is a rare, severe cutaneous reaction pattern that, in the majority (>90%) of cases, is related to administration of medication. It can be seen in both genders and in all ages. The cutaneous manifestations of AGEP are usually seen 1-14 days after drug administration. ⋯ Because there was no drug use in her history, we attributed her AGEP lesions to the spider bite. This case is interesting, because the patient also had lymphangitis. Herein, we present the fifth case reported in the literature of AGEP caused by a spider bite.
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The Journal of pediatrics · Jan 2010
Case ReportsBrown recluse spider (Loxosceles reclusa) envenomation leading to acute hemolytic anemia in six adolescents.
Loxosceles reclusa (brown recluse spider) bites often cause local envenomation reactions; however, acute hemolysis from systemic loxoscelism is rare. To highlight this important diagnostic consideration for unexplained hemolysis in areas endemic for brown recluse spiders, we report on 6 adolescents with acute hemolytic anemia from presumed L reclusa bites.
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Spider bites are an uncommon presenting complaint to Irish emergency services. We describe the case report of a patient diagnosed with a spider bite, thought due to an Australian (White-Tailed) spider unintentionally imported in a traveller's luggage. Her lesions were consistent with those caused by White-Tailed Spiders, and her clinical course and management is described. ⋯ The ascription of various clinical effects to particular spiders is problematic because of poor case definition and a lack of confirmed scientific evidence. However, spider bite enquiries are now the single most common reason for calls to Australian poisons centres. The diagnosis and treatment of spider bites is discussed with reference to the use of antibiotics, steroids and antivenoms, as featured in the recent literature.