Gómez-Muñoz Eduardo, Pérez-Úbeda María José, Garríguez-Pérez Daniel, Echevarría-Marín Marta, Gimeno María Dolores, Marco Fernando
Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Madrid, Spain.
Department of Surgery, Complutense University, Madrid, Spain.
JBJS Case Connect. 2022 Nov 3;12(4). doi: e22.00344. eCollection 2022 Oct 1.
We report the case of a previously healthy 51-year-old man who presented to our hospital after worsening clinical appearance of his left ring finger, despite antibiotics and previous surgical drainage for suspected abscess at an outside institution 3 weeks ago. He was admitted to our hospital for surgical debridement and decompression. After suspicion of cutaneous loxoscelism based on the clinical record and corticosteroid administration, the patient presented a favorable evolution.
Cutaneous loxoscelism caused by a spider bite is present in Europe, mainly in the Mediterranean area, and should be considered in cases of skin infections which do not respond to antibiotics.
我们报告了一名51岁既往健康男性的病例，3周前他因左手环指临床表现恶化就诊于我院，尽管在外院因疑似脓肿接受了抗生素治疗及外科引流手术。他因外科清创及减压入院。根据临床记录怀疑为皮肤型蜘蛛咬伤中毒并给予皮质类固醇治疗后，患者病情好转。
蜘蛛咬伤所致的皮肤型蜘蛛咬伤中毒在欧洲存在，主要在地中海地区，对于抗生素治疗无效的皮肤感染病例应考虑该病。
