Tularemia presenting as suspected necrotic arachnidism

Sateia, Heather F.; Melia, Michael T.; Cofrancesco, Joseph

doi:10.1002/ccr3.882

Cited by 4 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such disease should always be considered in endemic areas when performing a differential diagnosis for a suspected spider bite. Tularemia may also mimic necrotic arachnidism [23]. Lesions showing signs of necrosis are most likely to be attributed to a spider bite, probably because it is known that the venom of some spiders can cause dermonecrotic lesions.…”

Section: Misdiagnosismentioning

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

View full text Add to dashboard Cite

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.

show abstract

Section: Misdiagnosismentioning

confidence: 99%