Vetter Richard S, Edwards G B, James Louis F
Department of Entomology, University of California, Riverside, CA 92521, USA.
J Med Entomol. 2004 Jul;41(4):593-7. doi: 10.1603/0022-2585-41.4.593.
Bites attributed to the brown recluse spider, Loxosceles reclusa Gertsch & Mulaik, are frequently reported by medical personnel throughout Florida, whereas the extensive arachnological evidence contradicts the alleged widespread occurrence of Loxosceles spiders in the state. We compared reports of brown recluse spider bites made by medical personnel from a 6-yr Florida poison control center database to the known verifications of Loxosceles spiders from 100 yr of Florida arachnological data. Medical personnel diagnosed 124 brown recluse spider bites from 31 of Florida's 67 counties in 6 yr. In contrast, only 11 finds of approximately 70 Loxosceles spiders have been made in 10 Florida counties in 100 yr. Florida does not have sufficient widespread populations of Loxosceles spiders to warrant consideration of brown recluse spider envenomation as a probable etiology of dermonecrosis. Florida health care would improve if medical personnel would consider the multitude of other etiologies that manifest in dermonecrosis.
在佛罗里达州，医务人员经常报告称有被棕色遁蛛（Loxosceles reclusa Gertsch & Mulaik）咬伤的情况，然而大量的蛛形学证据却与该州所谓棕色遁蛛广泛分布的说法相矛盾。我们将佛罗里达州毒物控制中心6年数据库中医务人员报告的棕色遁蛛咬伤病例，与100年佛罗里达州蛛形学数据中已知的棕色遁蛛核实情况进行了比较。6年间，医务人员诊断出佛罗里达州67个县中的31个县有124例棕色遁蛛咬伤病例。相比之下，在100年里，佛罗里达州10个县仅发现了约70只棕色遁蛛中的11只。佛罗里达州没有足够广泛分布的棕色遁蛛种群，不足以将棕色遁蛛咬伤中毒作为皮肤坏死的可能病因。如果医务人员考虑到导致皮肤坏死的众多其他病因，佛罗里达州的医疗保健状况将会得到改善。
