Osteomyelitis of the Mandibular Symphysis Caused by Brown Recluse Spider Bite

نویسندگان

Deepak K. Naidu

Rami Ghurani

R. Emerick Salas

Rudolph J. Mannari

Martin C. Robson

Wyatt G. Payne

چکیده

BACKGROUND Brown recluse spider bites cause significant trauma via their tissue toxic venom. Diagnosis of these injuries and envenomation is difficult and many times presumptive. Treatment is varied and dependent upon presentation and course of injury. MATERIALS AND METHODS We present a case of a previously unreported incidence of osteomyelitis of the mandible as a result of a brown recluse spider bite. A review of the literature and discussion of diagnosis and treatment of brown recluse spider bites are presented. RESULTS Osteomyelitis of the mandible causing a chronic wound was the presenting finding of a patient with a history of spider bite and exposure to brown recluse spiders. Operative debridement and wound closure resulted in successful treatment. Brown recluse spider envenomation varies in its presentation and treatment is based on the presenting clinical picture. CONCLUSION Treatment regimens for brown recluse spider bite envenomation should include the basics of wound care. Systemic antibiotics, topical antimicrobials, dapsone, and surgical debridement are valuable adjuncts of treatment, as indicated, based on the clinical course.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Cutaneous necrosis following brown recluse spider bite

متن کامل

Brown Recluse Spiders in Colorado: Recognition and Spiders of Similar Appearance

mistaken for recluse spiders. Brown recluse and related recluse spiders (Loxosceles spp., Family Sicariidae) are, by far, the most commonly misidentified spiders in Colorado. Unfortunately, also greatly overdiagnosed are purported spider bites caused by brown recluse spiders – a situation perpetuated by many in the Colorado medical establishment as well as through self-diagnosis. Colorado hosts...

متن کامل

Hand-foot syndrome caused by brown spider bite.

متن کامل

Necrotic Skin Lesions: Spider Bite—or Something Else?

Although spider bites can produce dermonecrotic wounds, the differential diagnosis of such lesions is extensive. Most of the conditions in the differential are far more common than spider bites. Thus, we suggest that you approach the complaint of a "spider bite" with a skeptical eye. Here we describe the clinical features of spider bites and summarize the treatment options. We also examine the ...

متن کامل