Isbister G K, Churchill T B, Hirst D B, Gray M R, Currie B J
Royal Darwin Hospital, Darwin, NT.
Med J Aust. 2001 Jan 15;174(2):79-82. doi: 10.5694/j.1326-5377.2001.tb143159.x.
To determine the types of spiders causing bites and the clinical effects of their bites in tropical Northern Territory (north of the town of Katherine).
A prospective study of confirmed and suspected spider-bites and a retrospective analysis of data from a standardised, local database of spider- and snake-bites. Confirmed spider-bites were those in which there was a clear history of the bite, and the captured spider was identified by an arachnologist.
Emergency department of a teaching hospital. SUBJECTS AND DATA SOURCE: All subjects with confirmed or suspected spider-bite presenting to the Emergency Department or referred from August 1999 to August 2000, or identified from the database.
Thirty-four subjects had a confirmed spider-bite from an identified spider: 25 in the prospective group and nine in the retrospective group. The spiders were Sparassidae (huntsman spider) (12 bites), Missulena pruinosa (northern mouse spider) (7), Latrodectus (widow spider) (4), Araneidae (orb-weaver) (4), Salticidae (jumping spider) (4), Nemesidae (trapdoor spider) (1), Conothele (1) and Selenocosmia (whistling spider) (1). Clinical effects were local pain in 97% (severe in 29%), redness in 47% and swelling in 24% of cases. Systemic effects occurred in three victims, two of whom were bitten by M. pruinosa. There were no cases of confirmed necrotic arachnidism.
None of the spider-bites resulted in severe effects. Compared with data from other parts of Australia, different species were involved and latrodectism was uncommon. Our study highlighted the importance of correctly identifying the spider species.
确定在热带地区北领地（凯瑟琳镇以北）导致咬伤的蜘蛛种类及其咬伤的临床影响。
对确诊和疑似蜘蛛咬伤进行前瞻性研究，并对来自标准化的本地蜘蛛和蛇咬伤数据库的数据进行回顾性分析。确诊的蜘蛛咬伤是指有明确咬伤史且捕获的蜘蛛经蛛形学家鉴定的情况。
一家教学医院的急诊科。
1999年8月至2000年8月期间到急诊科就诊或转诊的所有确诊或疑似蜘蛛咬伤患者，或从数据库中识别出的患者。
34名患者被确诊为被已鉴定的蜘蛛咬伤：前瞻性组25例，回顾性组9例。这些蜘蛛包括巨蟹蛛科（猎人蛛）（12例咬伤）、多毛姬蛛（北方鼠蛛）（7例）、红斑寇蛛（黑寡妇蜘蛛）（4例）、园蛛科（圆蛛）（4例）、跳蛛科（跳蛛）（4例）、螲蟷科（活板门蛛）（1例）、球蛛科（1例）和澳大拉西亚捕鸟蛛（啸蛛）（1例）。临床症状包括97%的患者出现局部疼痛（其中29%为剧痛）、47%的患者出现发红、24%的患者出现肿胀。3名患者出现全身症状，其中2名被多毛姬蛛咬伤。没有确诊为坏死性蛛毒中毒的病例。
所有蜘蛛咬伤均未导致严重后果。与澳大利亚其他地区的数据相比，涉及的蜘蛛种类不同，且黑寡妇蜘蛛中毒并不常见。我们的研究强调了正确识别蜘蛛种类的重要性。
