Bey T A, Walter F G, Lober W, Schmidt J, Spark R, Schlievert P M
Department of Surgery, University of Arizona Health Sciences Center, Tucson, USA.
Ann Emerg Med. 1997 Nov;30(5):701-3. doi: 10.1016/s0196-0644(97)70092-1.
Envenomation by the brown recluse spider (Loxosceles reclusa) is associated with shock, significant hemolysis, renal insufficiency, and disseminated intravascular coagulation (DIC). Shock has never been associated with envenomation by L arizonica, a related species indigenous to Arizona, southern California, and northwestern Mexico. We report the case of a 13-year-old girl, bitten by a specimen of L arizonica (the spider was identified by an entomologist), in whom shock and a typical cutaneous lesion developed. She did not experience renal insufficiency or disseminated intravascular coagulation. Infectious causes of shock were excluded. She recovered completely with supportive care.
棕色隐士蜘蛛（褐皮花蛛）蜇伤可导致休克、严重溶血、肾功能不全及弥散性血管内凝血（DIC）。而亚利桑那褐皮花蛛（一种原产于亚利桑那州、南加利福尼亚州及墨西哥西北部的相关蜘蛛品种）蜇伤从未与休克相关。我们报告一例13岁女孩被一只亚利桑那褐皮花蛛（由昆虫学家鉴定）蜇伤的病例，该女孩出现了休克及典型的皮肤损伤。她未出现肾功能不全或弥散性血管内凝血。已排除休克的感染性病因。经支持治疗后她完全康复。
