Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, TN, USA.
Ann Emerg Med. 2012 Oct;60(4):439-41. doi: 10.1016/j.annemergmed.2011.12.011. Epub 2012 Feb 2.
Systemic loxoscelism is a constitutional illness resulting from the bite of the brown recluse spider. In severe form, it may cause hemolysis, acute renal failure, and disseminated intravascular coagulation. More rarely, it may result in death. We report an unusual case of systemic loxoscelism resulting in death less than one day following envenomation. We also discuss screening algorithms and contemporary management of systemic loxoscelism.
全身性狼蛛咬伤是由棕色隐遁蛛咬伤引起的全身性疾病。在严重的情况下，它可能导致溶血、急性肾衰竭和弥散性血管内凝血。更罕见的情况下，它可能导致死亡。我们报告了一例罕见的全身性狼蛛咬伤导致死亡的病例，从咬伤到死亡不到一天。我们还讨论了全身性狼蛛咬伤的筛查算法和当代管理。
