AI Article Synopsis

  • The brown recluse spider is found in certain regions of the U.S. and can cause serious health issues through its venom.
  • A 19-year-old male experienced three emergency visits and two hospitalizations due to delayed hemolysis that occurred six days after being bitten.
  • His case emphasizes the importance of ongoing monitoring and follow-up care for patients affected by systemic loxoscelism, even after initial symptoms improve.

Article Abstract

The brown recluse spider (Loxosceles reclusa) is endemic to the South, West and Central Midwestern United States, and envenomation from this spider can cause cutaneous and/or systemic symptoms. We present a case of systemic loxocelism in an adolescent male resulting in three emergency department visits and two hospitalizations for a rare case of delayed hemolysis 6 days after envenomation. A 19-year-old male presented to the emergency department twice within two days after envenomation with worsening pain, subjective fever, chills, nausea and vomiting. He required a two-day hospitalization for rhabdomyolysis and acute kidney injury. The patient was discharged with improving symptoms and laboratory results on day four before returning again on day seven with worsening symptoms. He was diagnosed with hemolytic anemia on day seven and was subsequently hospitalized for six days. This case of systemic loxoscelism manifested hemolysis six days after envenomation, following an improvement in symptoms and laboratory studies. This case highlights the need for continuous monitoring and/or follow-up in cases of systemic loxocelism.

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Source
http://dx.doi.org/10.1016/j.toxicon.2022.106975DOI Listing

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