Abstract

Brown recluse spiders are predominantly found in south central United States. Their bites usually cause mild self-limiting reactions, although localized tissue necrosis and rare systemic, potentially fatal, envenomations are known to occur. Herein, we report an atypical presentation of a brown recluse bite in a 20 year old female who was admitted to the intensive care unit due to angioedema and cellulitis. We photographically document the bite site for twenty-four hours following envenomation. She received glucocorticoids, antihistamines, antibiotics and dapsone while hospitalized and was subsequently discharged with complete resolution of symptoms without the development of tissue necrosis or scarring.

Authors

Dare RK, Conner KB, Tan PC, Hopkins RH

Source

The Journal of the Arkansas Medical Society 108:10 2012 Mar pg 208-10

MeSH

Anaphylaxis
Animals
Arkansas
Bites and Stings
Female
Humans
Lip
Phosphoric Diester Hydrolases
Spider Venoms
Spiders
Young Adult

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22479977