Earwood Ryan C, Ladde Jay, Giordano Philip A
Department of Emergency Medicine, Florida State University College of Medicine, Tallahassee, USA.
Department of Emergency Medicine, Orlando Regional Medical Center, Orlando, USA.
Cureus. 2020 Jul 13;12(7):e9165. doi: 10.7759/cureus.9165.
Latrodectus geometricus, also known as the brown widow or brown button spider, is an unrenowned relative of the American black widow. While brown widow envenomation is generally thought of as mild, it does have the potential to lead to moderate or severe features similar to black widow bites. We report a case of brown widow envenomation that led to a moderate reaction including rash, local pain, pain radiating proximally in the extremity and nausea. Poison control was consulted for aid in spider identification. The patient was treated for pain control and muscle relaxation and monitored for eight hours. After proper tetanus prophylaxis, the patient was successfully discharged home with well-controlled, but continued mild symptoms. This case highlights a little-known, but clinically relevant species of widow spider with a wide distribution. Expeditious identification and treatment of brown widow bites can increase patient comfort, satisfaction, and discharge rates.
几何寇蛛，也被称为褐寡妇蜘蛛或褐钮扣蜘蛛，是美国黑寡妇蜘蛛鲜为人知的近亲。虽然褐寡妇蜘蛛的毒液一般被认为毒性较轻，但它确实有可能引发类似于黑寡妇蜘蛛咬伤的中度或重度症状。我们报告了一例褐寡妇蜘蛛咬伤病例，该病例导致了中度反应，包括皮疹、局部疼痛、肢体近端放射性疼痛和恶心。我们向中毒控制中心咨询以协助识别蜘蛛种类。对患者进行了疼痛控制和肌肉松弛治疗，并监测了8小时。在进行适当的破伤风预防后，患者症状得到良好控制，但仍有持续的轻微症状，随后顺利出院。该病例凸显了一种分布广泛但鲜为人知且具有临床相关性的寡妇蜘蛛种类。快速识别和治疗褐寡妇蜘蛛咬伤可提高患者的舒适度、满意度和出院率。
