Tularemia presenting as suspected necrotic arachnidism
نویسندگان
چکیده
The true danger of the spider bite stems from misdiagnosis and resultant delay in proper treatment of entities that, unlike spider bites, are not self-limited. Obtaining a complete exposure and travel history is central to the development of an accurate and appropriate differential diagnosis.
منابع مشابه
Brown recluse spider bites.
BACKGROUND Brown recluse spider bites are a serious medical problem in the southeastern United States. Although most bites are asymptomatic, envenomation can result in a constellation of systemic symptoms referred to as loxoscelism. Patients can also develop necrotic skin ulcers (necrotic arachnidism). These ulcers are often difficult to heal and can require skin grafting or amputation of the b...
متن کاملA Case of Loxoscelism in Southern France
An 80-year-old man living in Fréjus in southern France had a cellulitis on the right arm (Figure 1). The patient had no fever, chills, systemic symptoms, or other clinical signs. He felt a slight pain in his arm during the night and while folding his arm, he crushed a spider. The spider’s body was immediately recovered and then identified by an entomologist (Figure 2). This typical skin lesion ...
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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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The spider bites are quite frequent and often resolve quickly without leaving outcomes; only some species are capable of causing necrotic and systematic lesions in humans. Among them, we should mention the genus Loxosceles. The venom released from the spider bite of Loxosceles species is composed of proteins, enzymes, and nonenzymatic polypeptides. The phospholipase D family was identified as t...
متن کاملBites of brown recluse spiders and suspected necrotic arachnidism.
N Engl J Med 2005;352:700-7. Copyright © 2005 Massachusetts Medical Society. utaneous injury caused by spider venom has been recognized by physicians in the United States only since the late 1950s, with recluse spiders (genus loxosceles) most frequently implicated. During the past five decades, the growing popular belief that spiders cause many cases of skin necrosis in the United States has re...
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