Newlands G, Atkinson P
Department of Entomology, University of Pretoria.
S Afr Med J. 1990 Jan 20;77(2):96-7.
A simple key that will enable the clinician to diagnose the culprit species in cases of spider bite in Africa south of the equator in the absence of the culprit is presented. Species of four spider genera are responsible for virtually all the cases of araneism requiring medical attention, viz. Latrodectus, Chiracanthium, Loxosceles and Sicarius. The signs and symptoms at various intervals following envenomation by these spiders are sufficiently distinctive to allow specific diagnosis in most cases. To make this more easily possible the signs and symptoms at various intervals after envenomation have been tabulated in the form of a diagnostic key.
本文提出了一个简单的关键方法，可使临床医生在赤道以南非洲地区蜘蛛叮咬病例中，在找不到肇事蜘蛛的情况下诊断出肇事物种。实际上，四种蜘蛛属的物种导致了几乎所有需要医疗救治的蜘蛛中毒病例，即：Latrodectus属、Chiracanthium属、Loxosceles属和Sicarius属。这些蜘蛛注入毒液后在不同时间段出现的体征和症状具有足够的特异性，能够在大多数情况下进行明确诊断。为了更便于诊断，已将注入毒液后不同时间段的体征和症状整理成诊断关键方法的表格形式。
