A rare cause of severe periorbital edema and dermonecrotic ulcer of the eyelid in a child: brown recluse spider bite.
نویسندگان
چکیده
Spider bites are a worldwide problem. Brown recluse spider bites can lead to severe local or systemic clinical effects, such as edema, necrotic ulcer, rashes, fever, chills, nausea, vomiting, malaise, arthralgia, myalgia, hemolysis, leukocytosis, disseminated intravascular coagulation, renal failure, and death. Eyelid bites from brown recluse spiders are rare. We report a child with severe facial edema and a dermonecrotic ulcer on the eyelid. Upon laboratory examination, leukocytosis with a significant left shift was detected. The patient was treated with antibiotics, systemic corticosteroid and conservative therapy that included saline compresses and ocular lubrication. No surgical excision was required. Vision was not impaired. A dermonecrotic ulcer is a severe complication of brown recluse spider bites. Since the diagnosis is difficult, clinical and epidemiological findings and a detailed history are important for an accurate diagnosis.
منابع مشابه
A rare cause of cellulitis (necrotic arachnidism): a report of two cases
Spider bite is common, but most spider bite is minor and causes nothing more than local irritation. Bites from brown recluse spiders (Loxosceles reclusa) result in several clinical manifestations, they possess a venom capable of causing painful, disfiguring necrotic ulcers and, uncommonly, severe systemic effects[1-3]. The diagnosis of a spider bite is typically made on historical and epidemiol...
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عنوان ژورنال:
- The Turkish journal of pediatrics
دوره 53 1 شماره
صفحات -
تاریخ انتشار 2011