Necrotoxic spider bite: a successful noninvasive wound management

Necrotic Arachnidism in Germany due to Bite of a Dysderidae Spider Probably Imported from South Tyrol, Italy

“…Therapeutic strategies therefore remain speculative and empirical. Consequent wound care, with local wound debridement, prophylaxis of possible superinfections, and stimulation of granulation as supportive measures, are currently the best strategy ( 2 , 7 ).…”

Parasites causing cutaneous wounds: Theory and practice from a dermatological point of view

“…Spiders can cause necrotic arachnidism (e.g. Loxosceles rufuscens, Cheiracanthium punctorium, Tegenaria agrestis) and systemic manifestations (Oranges et al, 2019a). The main syndromes induced by spider bites are latrodectism and loxoscelism.…”

“…Appropriate wound care and analgesics are sufficient for most patients. Other treatments include: antihistamines, corticosteroids in the case of systemic reactions, such as haemolysis, dapsone, hyperbaric oxygen, vasodilators, heparin, colchicine, prophylactic antibiotics, tetanus prophylaxis in susceptible individuals, and antivenoms (Oranges et al, 2019a;Trave et al, 2020).…”

Report of cutaneous loxoscelism caused by violin spider bite in Northern Italy

“…Blood tests showed leukocytosis and absolute neutrophilia. The standard therapies of cutaneous loxoscelism aim to reduce the local inflammation, prevent infections, manage possible systemic reactions, and achieve prompt wound healing 5 . We added paracetamol IV (1000 mg) two times a day for 5 days and betamethasone IV 4 mg/ml once a day for 5 days to the patient’s existent therapy.…”