Vetter Richard S
Department of Entomology, University of California, Riverside, CA, 92521, USA.
Toxicon X. 2022 Jan 19;13:100091. doi: 10.1016/j.toxcx.2022.100091. eCollection 2022 Mar.
From southern North America, five verified bites by crevice weaver spiders, spp. (Filistatidae), are presented here, three of which are pediatric cases. Although the envenomation manifestations were of minimal expression, the salient aspect of this report is that spiders are frequently misidentified as brown recluse spiders (genus ) which are infamous for causing serious dermonecrosis and rarely, life-threatening systemic effects. Misidentification of this relatively harmless spider as a medically important recluse when presented to a physician in an envenomation episode could lead to unwarranted and overzealous treatment such as contraindicated debridement of the affected area.
本文报告了来自北美南部的5例经证实的裂隙织网蜘蛛(Filistatidae科)咬伤病例,其中3例为儿科病例。尽管中毒表现轻微,但本报告的突出之处在于,这些蜘蛛常被误认成棕色遁蛛(Loxosceles属),后者因可导致严重皮肤坏死且极少引起危及生命的全身效应而声名狼藉。在中毒事件中,若将这种相对无害的蜘蛛误认成具有重要医学意义的遁蛛并告知医生,可能会导致不必要的过度治疗,如对受影响区域进行禁忌的清创术。