A brown recluse spider bite wound: a case report and literature review

Author:

Fang Lauren1,Chen Joanna1,Spurgeon-Hess Taylor1,Thompson Noelle1,Simman Richard23

Affiliation:

1. University of Toledo, College of Medicine and Life Sciences, Toledo, Ohio, US.

2. University of Toledo, College of Medicine and Life Sciences, Department of Surgery, Toledo, Ohio, US.

3. Jobst Vascular Institute, ProMedica Health Network, Wound Care Program, Toledo, Ohio, US.

Abstract

The aim of this case report is to highlight an uncommon diagnosis for necrotic wounds. Brown recluse spider bites are a challenging clinical diagnosis and need to be considered as part of differential diagnoses, especially with the spider's natural distribution altering due to the effects of climate change. We present a case of a 44-year-old female patient who developed systemic symptoms and wound necrosis from a presumed brown recluse spider bite. The patient had multiple risk factors for poor wound healing and necrotic skin infections. It is important to be able to recognise unique manifestations of this rare diagnosis in order to avoid delay of timely and effective intervention and treatment. Declaration of interest: The authors have no conflicts of interest.

Publisher

Mark Allen Group

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