Suspected Brown Recluse Spider Envenomation: Missed Diagnosis and Delayed Treatment of Loxoscelism: A Case Report.

Autor: Gómez-Muñoz E; Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Madrid, Spain., Pérez-Úbeda MJ; Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Madrid, Spain., Garríguez-Pérez D; Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Madrid, Spain., Echevarría-Marín M; Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Madrid, Spain., Gimeno MD; Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Madrid, Spain., Marco F; Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Madrid, Spain.; Department of Surgery, Complutense University, Madrid, Spain.
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2022 Nov 03; Vol. 12 (4). Date of Electronic Publication: 2022 Nov 03 (Print Publication: 2022).
DOI: e22.00344
Abstrakt: Case: We report the case of a previously healthy 51-year-old man who presented to our hospital after worsening clinical appearance of his left ring finger, despite antibiotics and previous surgical drainage for suspected abscess at an outside institution 3 weeks ago. He was admitted to our hospital for surgical debridement and decompression. After suspicion of cutaneous loxoscelism based on the clinical record and corticosteroid administration, the patient presented a favorable evolution.
Conclusion: Cutaneous loxoscelism caused by a spider bite is present in Europe, mainly in the Mediterranean area, and should be considered in cases of skin infections which do not respond to antibiotics.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B952).
(Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze: MEDLINE
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