Envenimation nécrotique dans le Sud de la France : deux observations de loxoscélisme cutané

Pernet, C.; Dandurand, M.; Meunier, Laurent; Stoebner, P

doi:10.1016/j.annder.2010.08.008

Cited by 27 publications

(3 citation statements)

References 16 publications

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“…The healing is slow and can be spontaneous or require surgical debridement, with full healing taking from 2-5 weeks to months. The process sometimes results in scarring and residual neuropathic pain [58,59,60,61].…”

Section: Clinical Featuresmentioning

confidence: 99%

Spider bites of medical significance in the Mediterranean area: misdiagnosis, clinical features and management

Fusto

Bennardo

Duca

et al. 2020

J. Venom. Anim. Toxins incl. Trop. Dis

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Despite the disrepute spiders have had for centuries, their bite is a rare occurrence. In the Mediterranean area, only two of the numerous known species are considered of medical significance: Latrodectus tredecimguttatus and Loxosceles rufescens. Spider bites have no pathognomonic signs or symptoms, therefore most diagnoses are presumptive; a spider bite can only be diagnosed when a spider (seen at the time of the bite) is collected and identified by an expert, since most physicians and patients are unable to recognize a certain spider species or distinguish spiders from other arthropods. Skin lesions of uncertain etiology are too often attributed to spider bites. In most cases, these are actually skin and soft-tissue infections, allergic reactions, dermatoses etc. Misdiagnosing a wound as a spider bite can lead to delays in appropriate care, cause adverse or even fatal outcomes and have medical-legal implications. Concerningly, misinformation on spider bites also affects the medical literature and it appears there is lack of awareness on current therapeutic indications for verified bites.

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Section: Clinical Featuresmentioning

confidence: 99%

Spider bites of medical significance in the Mediterranean area: misdiagnosis, clinical features and management

Fusto

Bennardo

Duca

et al. 2020

J. Venom. Anim. Toxins incl. Trop. Dis

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“…Systemic symptoms have been reported by up to 10% of patients in the literature (Isbister & Fan, 2011; Swanson & Vetter, 2006). More severe symptoms may occur in cutaneovisceral forms (about 10% of patients in the American continent) (Cruveillier et al, 2019; Pernet et al, 2010). In our study, two patients presented an acute renal failure, probably due to a context of superinfection of the lesions, and another one patient had a disseminated intravascular coagulation.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spider bites in France: Epidaemiology of cases occurring in 10 years in metropolitan France

Roux

Richard

Larcher

et al. 2021

Medical Vet Entomology

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Spiders are often wrongly designated as responsible for cutaneous eruptions. We aim to describe spider bites and the spider species implicated in metropolitan France. A retrospective observational study was conducted for all reported cases of spider bites from 2007 to 2018 extracted from the French Poison Control Centers (PCCs) information system, after exclusion of non‐native spiders. We described identification of the spider, level of certainty of the bite, symptoms and severity of cases. 1194 cases of spider bites met the inclusion criteria. The average age of the patients was 36.9 ± 19.8 years. Identification of the species or at least that a spider was implicated was only possible in 346 cases (29.0%). Loxosceles were involved in 53 cases (4.4%), Latrodectus in 46 cases (3.9%) and Cheiracanthium in 35 cases (2.9%). In one third of cases, the involved spider was not known to be present where the bite occurred. Where most of the patients (n = 1111, 93%) reported at least one cutaneous symptom, most of the symptoms were neurological. The bite was considered proven in only 242 cases (20%). Despite the efforts of arachnologists to educate the public, the fear of spiders is still alive in France, where spider bite is rare with low severity and often unproven.

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Clinical aspects, diagnosis and management of Loxosceles spider envenomation: literature and case review

et al. 2020

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Envenimation nécrotique dans le Sud de la France : deux observations de loxoscélisme cutané

Cited by 27 publications

References 16 publications

Spider bites of medical significance in the Mediterranean area: misdiagnosis, clinical features and management

Spider bites of medical significance in the Mediterranean area: misdiagnosis, clinical features and management

Spider bites in France: Epidaemiology of cases occurring in 10 years in metropolitan France

Clinical aspects, diagnosis and management of Loxosceles spider envenomation: literature and case review

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