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Aural involvement in loxoscelism: case report and literature review
Sreekrishna Kanth Donepudi1, Khwaja Asif Ahmed, Rose Mary S Stocks
1Department of Otolaryngology--Head and Neck Surgery, University of Tennessee Health Science Center, 956 Court Ave., Room B216, Memphis, TN 38163, USA.
Abstract:
An 11-year-old male presented with fever, rash, and a necrotic lesion on the lobule of the left ear. The lesion became tender and formed an eschar over 4 days. The patient developed leukocytosis, hemolytic anemia, and proteinuria, and was diagnosed with systemic loxoscelism from a brown recluse spider bite. He was managed with supportive therapy and improved in 4 days. Loxoscelism is a clinical diagnosis which should be suspected in an otherwise healthy patient with a necrotic wound, particulary in the endemic Southern and Midwestern United States. Physicians should be aware of this disease entity and its complications.
