Gross A S, Wilson D C, King L E
Department of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
South Med J. 1990 Nov;83(11):1321-3. doi: 10.1097/00007611-199011000-00025.
Patients with brown recluse spider bites commonly suffer from pain, muscular aching, and a variety of local dysesthesias during the acute and resolution phases of toxin-induced injury. This is our first well-documented observation of persistent cutaneous anesthesia caused by a spider bite. The anesthetic area conformed to the distribution of a specific nerve, the transverse cervical cutaneous nerve. The identification of the spider as a brown recluse and the location of the bite over the nerve's usual pathway strongly suggest that the venom was responsible for this complication.
棕色隐遁蛛咬伤的患者在毒素诱导损伤的急性期和恢复期通常会遭受疼痛、肌肉酸痛以及各种局部感觉异常。这是我们首次有充分记录的关于蜘蛛咬伤导致持续性皮肤麻醉的观察。麻醉区域与特定神经——颈横皮神经的分布一致。鉴定该蜘蛛为棕色隐遁蛛，且咬伤部位位于该神经的通常走行路径上，这有力地表明毒液是导致这种并发症的原因。
