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A Case Report of Brown Recluse Spider Bite
Basel Abdelazeem1, Kianna Eurick-Bering2, Sarah Ayad3
1Internal Medicine, McLaren Health Care, Flint/Michigan State University, Flint, USA.
Cureus
|August 30, 2021
Summary
Brown recluse spider bites can be difficult to diagnose and may mimic other skin conditions. This case highlights diagnostic challenges, especially in patients with risk factors for necrotizing soft tissue infection.
Area of Science:
- Arachnology
- Dermatology
- Toxicology
Background:
- Brown recluse spiders (genus *Loxosceles*) are identifiable by their six eyes.
- Brown recluse spider bites are challenging to diagnose definitively.
- Clinical diagnosis relies on geographic location, seasonality, and characteristic symptoms.
Observation:
- A case of a brown recluse spider bite in a 59-year-old female is presented.
- The patient had malnutrition and polysubstance use, complicating diagnosis.
- She developed systemic symptoms and a significant dermonecrotic wound.
Findings:
- Local wound care and intravenous antibiotics led to clinical improvement.
- The patient left the hospital against medical advice.
- This case occurred in Michigan, an unusual location for brown recluse spider bites.
Implications:
- The case underscores the diagnostic difficulties of brown recluse spider bites.
- It highlights the importance of considering spider bites in patients with risk factors for necrotizing soft tissue infections.
- This report contributes to the limited data on brown recluse spider bites in Michigan.
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