Iranian National Registry Centre for Lophomoniasis and Toxoplasmosis, Mazandaran University of Medical Sciences, Sari, Iran.
Antimicrobial Resistance Research Centre, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, Iran.
J Int Med Res. 2023 Aug;51(8):3000605231157284. doi: 10.1177/03000605231157284.
A brown recluse spider (BRS) bite is challenging to confirm, but may be clinically diagnosed by considering the location, the season of the year, and the clinical manifestations. Here, the case of a 26-year-old male who presented after an insect bite with a skin lesion, bruising, severe swelling, and diffuse blisters on the right lower extremity after three days, is described. Following clinical examination, patient history assessment, and consideration of other relevant factors, the patient received a differential diagnosis of necrotizing fasciitis caused by BRS bite. Although spider bite poisoning is rare, proper diagnosis and management are important because, in some cases, the outcomes may be devastating.
褐色隐士蜘蛛（BRS）咬伤难以确认，但可根据位置、一年中的季节和临床表现进行临床诊断。在此，描述了一名 26 岁男性的病例，他在被昆虫咬伤后三天出现右下肢皮肤损伤、瘀斑、严重肿胀和弥漫性水疱。在进行临床检查、评估病史和考虑其他相关因素后，患者被诊断为 BRS 咬伤引起的坏死性筋膜炎。尽管蜘蛛咬伤中毒很少见，但正确的诊断和管理很重要，因为在某些情况下，后果可能是毁灭性的。
