Case Report
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Recluse Spider Bite (Loxosceles sp.): A case report from Jordan

Year 2024, Volume: 15 Issue: 1, 1 - 3, 29.03.2024
https://doi.org/10.33706/jemcr.1293334

Abstract

Introduction: Loxosceles is a genus of spiders belongs to the family Sicariidae, known as recluse spiders. These spiders are considered venomous and are distinguished by three pairs of eyes, arranged in triangular pattern. In Jordan, only Loxosceles rufescens was recorded.
Case Report: A 75-year-old female with history of hypertension was bitten by a recluse spider. The case developed cellulitis and secondary infection at the site of the bite. The patient showed no response to the treatment with antibiotics either at home or in the emergency department. She was admitted as an inpatient and given Tinam (Cephalosporin / 4th generation). The patient left the hospital after improvement of the symptoms on day 14.
Conclusion: Bite of Loxosceles spider cause serious poisoning and lead to severe skin infection that needs hospitalization.

References

  • 1. Everson GW. Spider, Brown Recluse. In Wexler P, Bruce D, Anderson C, Peyster A. Editor. Encyclopedia of Toxicology. 2nd ed. Amsterdam: Elsevier; 2005. p. 73-4.
  • 2. Abdelazeem B, Eurick-Bering K, Ayad S, Malik B, Kalynych Z. A case report of brown recluse spider bite. Cureus 2021; 13:e16663.
  • 3. Taucare-ríos A, Nentwig W, Bizama G, Bustamante RO. Matching global and regional distribution models of the recluse spider Loxoscelesrufescens: to what extent do these reflect niche conservatism? Med Vet Entomol 2018; 32(4): 490-96.
  • 4. Gertsch WJ, Ennik F. The spider genus Loxosceles in North America, Central America, and the West Indies (Araneae, Loxoscelidae). Bull Am Mus Nat Hist 1983; 175: 264-360.
  • 5. Amr ZS. Arthropods of medical importance in Jordan. Jordan Med J 1988; 22: 125-37.
  • 6. Shakhatreh M, Zuhair A, Abu Baker M. Spiders of Jordan: A preliminary study. Turkish J biosci collect 2020; 15(1): 1-11.
  • 7. Vetter RS. Spiders of the genus Loxosceles (Araneae, Sicariidae): a review of biological, medical, and psychological aspects regarding envenomation. J Arachnol 2008; 36(1): 150-63.
  • 8. Lajoie DM, Zobel-Thropp PA, Kumirov VK, Bandarian V, Binford GJ, Cordes MHJ. Phospholipase D toxins of brown spider venom convert lysophosphatidylcholine and sphingomyelin to cyclic phosphates. PLoS ONE 2013; 8(8): e72372.
  • 9. Norden PS, Phillips TJ. Brown recluse spider bite: a rare cause of necrotic wounds. Wounds 2005; 17(11): 304-12.
  • 10. Stoecker WV, Green JA, Gomez HF. Diagnosis of loxoscelism in a child confirmed with an enzyme-linked immunosorbent assay and noninvasive tissue sampling. J Am AcadDermatol 2006; 55 (5): 888-90.
  • 11. Baden LR. Cutaneous loxocelism. N Engl J Med 2013; 369: 5.
  • 12. Rees R, Campbell D, Rieger E, King LE. The diagnosis and treatment of brown recluse spider bites. Ann Emerg Med 1987; 16: 945-49.
  • 13. Yigit N, Bayram A, Ulasoglu D, Danisman T, CorakOcal I, Sancak Z. Loxosceles spider bite in Turkey (Loxoscelesrufescens, Sicariidae, Araneae). J Venom Anim Toxins Incl Trop Dis 2008; 14: 178-87.
  • 14. Bucur IJ, Obasi OE. Spider bite envenomation in Al Baha region, Saudi Arabia. Ann Saudi Med 1999; 19(1): 15-9.
  • 15. Sharquie KE, Jabbar RI. Spider bites might present as cellulitis like in early cases and pyoderma gangrenosum like in late cases. J Turk AcadDermatol 2020; 14(3): 70-5.
Year 2024, Volume: 15 Issue: 1, 1 - 3, 29.03.2024
https://doi.org/10.33706/jemcr.1293334

Abstract

References

  • 1. Everson GW. Spider, Brown Recluse. In Wexler P, Bruce D, Anderson C, Peyster A. Editor. Encyclopedia of Toxicology. 2nd ed. Amsterdam: Elsevier; 2005. p. 73-4.
  • 2. Abdelazeem B, Eurick-Bering K, Ayad S, Malik B, Kalynych Z. A case report of brown recluse spider bite. Cureus 2021; 13:e16663.
  • 3. Taucare-ríos A, Nentwig W, Bizama G, Bustamante RO. Matching global and regional distribution models of the recluse spider Loxoscelesrufescens: to what extent do these reflect niche conservatism? Med Vet Entomol 2018; 32(4): 490-96.
  • 4. Gertsch WJ, Ennik F. The spider genus Loxosceles in North America, Central America, and the West Indies (Araneae, Loxoscelidae). Bull Am Mus Nat Hist 1983; 175: 264-360.
  • 5. Amr ZS. Arthropods of medical importance in Jordan. Jordan Med J 1988; 22: 125-37.
  • 6. Shakhatreh M, Zuhair A, Abu Baker M. Spiders of Jordan: A preliminary study. Turkish J biosci collect 2020; 15(1): 1-11.
  • 7. Vetter RS. Spiders of the genus Loxosceles (Araneae, Sicariidae): a review of biological, medical, and psychological aspects regarding envenomation. J Arachnol 2008; 36(1): 150-63.
  • 8. Lajoie DM, Zobel-Thropp PA, Kumirov VK, Bandarian V, Binford GJ, Cordes MHJ. Phospholipase D toxins of brown spider venom convert lysophosphatidylcholine and sphingomyelin to cyclic phosphates. PLoS ONE 2013; 8(8): e72372.
  • 9. Norden PS, Phillips TJ. Brown recluse spider bite: a rare cause of necrotic wounds. Wounds 2005; 17(11): 304-12.
  • 10. Stoecker WV, Green JA, Gomez HF. Diagnosis of loxoscelism in a child confirmed with an enzyme-linked immunosorbent assay and noninvasive tissue sampling. J Am AcadDermatol 2006; 55 (5): 888-90.
  • 11. Baden LR. Cutaneous loxocelism. N Engl J Med 2013; 369: 5.
  • 12. Rees R, Campbell D, Rieger E, King LE. The diagnosis and treatment of brown recluse spider bites. Ann Emerg Med 1987; 16: 945-49.
  • 13. Yigit N, Bayram A, Ulasoglu D, Danisman T, CorakOcal I, Sancak Z. Loxosceles spider bite in Turkey (Loxoscelesrufescens, Sicariidae, Araneae). J Venom Anim Toxins Incl Trop Dis 2008; 14: 178-87.
  • 14. Bucur IJ, Obasi OE. Spider bite envenomation in Al Baha region, Saudi Arabia. Ann Saudi Med 1999; 19(1): 15-9.
  • 15. Sharquie KE, Jabbar RI. Spider bites might present as cellulitis like in early cases and pyoderma gangrenosum like in late cases. J Turk AcadDermatol 2020; 14(3): 70-5.
There are 15 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Hazem Al-talafha 0000-0003-1732-8603

Ishraq Abudarweesh 0009-0001-2110-7267

Zuhair Amr 0000-0002-4778-2308

Publication Date March 29, 2024
Submission Date June 1, 2023
Published in Issue Year 2024 Volume: 15 Issue: 1

Cite

APA Al-talafha, H., Abudarweesh, I., & Amr, Z. (2024). Recluse Spider Bite (Loxosceles sp.): A case report from Jordan. Journal of Emergency Medicine Case Reports, 15(1), 1-3. https://doi.org/10.33706/jemcr.1293334
AMA Al-talafha H, Abudarweesh I, Amr Z. Recluse Spider Bite (Loxosceles sp.): A case report from Jordan. Journal of Emergency Medicine Case Reports. March 2024;15(1):1-3. doi:10.33706/jemcr.1293334
Chicago Al-talafha, Hazem, Ishraq Abudarweesh, and Zuhair Amr. “Recluse Spider Bite (Loxosceles sp.): A Case Report from Jordan”. Journal of Emergency Medicine Case Reports 15, no. 1 (March 2024): 1-3. https://doi.org/10.33706/jemcr.1293334.
EndNote Al-talafha H, Abudarweesh I, Amr Z (March 1, 2024) Recluse Spider Bite (Loxosceles sp.): A case report from Jordan. Journal of Emergency Medicine Case Reports 15 1 1–3.
IEEE H. Al-talafha, I. Abudarweesh, and Z. Amr, “Recluse Spider Bite (Loxosceles sp.): A case report from Jordan”, Journal of Emergency Medicine Case Reports, vol. 15, no. 1, pp. 1–3, 2024, doi: 10.33706/jemcr.1293334.
ISNAD Al-talafha, Hazem et al. “Recluse Spider Bite (Loxosceles sp.): A Case Report from Jordan”. Journal of Emergency Medicine Case Reports 15/1 (March 2024), 1-3. https://doi.org/10.33706/jemcr.1293334.
JAMA Al-talafha H, Abudarweesh I, Amr Z. Recluse Spider Bite (Loxosceles sp.): A case report from Jordan. Journal of Emergency Medicine Case Reports. 2024;15:1–3.
MLA Al-talafha, Hazem et al. “Recluse Spider Bite (Loxosceles sp.): A Case Report from Jordan”. Journal of Emergency Medicine Case Reports, vol. 15, no. 1, 2024, pp. 1-3, doi:10.33706/jemcr.1293334.
Vancouver Al-talafha H, Abudarweesh I, Amr Z. Recluse Spider Bite (Loxosceles sp.): A case report from Jordan. Journal of Emergency Medicine Case Reports. 2024;15(1):1-3.