Abdelazeem Basel, Eurick-Bering Kianna, Ayad Sarah, Malik Bilal, Kalynych Zirka
Internal Medicine, McLaren Health Care, Flint/Michigan State University, Flint, USA.
Internal Medicine, Michigan State University College of Human Medicine, Flint, USA.
Cureus. 2021 Jul 27;13(7):e16663. doi: 10.7759/cureus.16663. eCollection 2021 Jul.
Brown recluse spider is a spider of the genus also known as violin spider or fiddle-back spider. Brown recluse spider is characterized by having six eyes, with a pair in front, a pair on both sides, and a gap between the pairs. The other spiders have eight eyes in two rows of four. Brown recluse spider bites are challenging to verify but may be clinically diagnosed with consideration of geographic location, seasonality, and clinical characteristics. We present a case that involves a brown recluse spider bite in a 59-year-old female with malnutrition and polysubstance use who developed systemic symptoms and a dermonecrotic wound. Local wound care and intravenous (IV) antibiotics lead to clinical improvement by hospital day three, at which time the patient left against medical advice. The case highlights the challenges of diagnosing a brown recluse spider bites, particularly in a patient with multiple risk factors for necrotizing soft tissue infection. Furthermore, the present case represents one of the few case reports of a brown recluse spider bite in Michigan.
棕色隐遁蛛是一种蜘蛛，也被称为小提琴蛛或琴背蛛。棕色隐遁蛛的特征是有六只眼睛，一对在前方，一对在两侧，且两眼组之间有间隙。其他蜘蛛有八只眼睛，排成两排，每排四只。棕色隐遁蛛咬伤很难确诊，但可根据地理位置、季节性和临床特征进行临床诊断。我们报告一例59岁营养不良且有多种物质使用史的女性棕色隐遁蛛咬伤病例，该患者出现了全身症状和皮肤坏死性伤口。局部伤口护理和静脉注射抗生素使患者在住院第三天临床症状有所改善，此时患者不听从医嘱自行出院。该病例凸显了诊断棕色隐遁蛛咬伤的挑战，尤其是在有坏死性软组织感染多种危险因素的患者中。此外，本病例是密歇根州少数几例棕色隐遁蛛咬伤的病例报告之一。
