Fatal Viscerocutaneous Brown Recluse Envenomation With Orbital Compartment Syndrome

is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and has a mixture of many proteins, some of which function as proteases. Envenomation can cause necrotic skin lesions that may become extensive and take ma...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 5; p. e60943
Main Authors Meadows, Jonathan W, Shayesteh, Nima, Crandall, Eric, Watkins, Sarah A
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 23.05.2024
Cureus
Subjects
Acidosis
Apheresis
Case reports
Compartment syndrome
Dopamine
Edema
Emergency Medicine
Hypotension
Insect bites
Intubation
Kinases
Pediatrics
Sepsis
Venom
Wound healing
United States > US
poison center
loxoscelism
orbital compartment
brown recluse spider bite
lateral canthotomy
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Abstract is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and has a mixture of many proteins, some of which function as proteases. Envenomation can cause necrotic skin lesions that may become extensive and take many months to heal. Even more rarely, venom may cause systemic effects, leading to widespread hemolysis, coagulopathy, and death. These symptoms typically occur rapidly within 24-48 hours following the bite. We describe a rare case of a 44-year-old male with fatal systemic loxoscelism with orbital compartment syndrome requiring emergent lateral canthotomy and cantholysis.
AbstractList Loxosceles is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and has a mixture of many proteins, some of which function as proteases. Envenomation can cause necrotic skin lesions that may become extensive and take many months to heal. Even more rarely, venom may cause systemic effects, leading to widespread hemolysis, coagulopathy, and death. These symptoms typically occur rapidly within 24-48 hours following the bite. We describe a rare case of a 44-year-old male with fatal systemic loxoscelism with orbital compartment syndrome requiring emergent lateral canthotomy and cantholysis.
Loxosceles is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and has a mixture of many proteins, some of which function as proteases. Envenomation can cause necrotic skin lesions that may become extensive and take many months to heal. Even more rarely, venom may cause systemic effects, leading to widespread hemolysis, coagulopathy, and death. These symptoms typically occur rapidly within 24-48 hours following the bite. We describe a rare case of a 44-year-old male with fatal systemic loxoscelism with orbital compartment syndrome requiring emergent lateral canthotomy and cantholysis.
Loxosceles is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and has a mixture of many proteins, some of which function as proteases. Envenomation can cause necrotic skin lesions that may become extensive and take many months to heal. Even more rarely, venom may cause systemic effects, leading to widespread hemolysis, coagulopathy, and death. These symptoms typically occur rapidly within 24-48 hours following the bite. We describe a rare case of a 44-year-old male with fatal systemic loxoscelism with orbital compartment syndrome requiring emergent lateral canthotomy and cantholysis.Loxosceles is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and has a mixture of many proteins, some of which function as proteases. Envenomation can cause necrotic skin lesions that may become extensive and take many months to heal. Even more rarely, venom may cause systemic effects, leading to widespread hemolysis, coagulopathy, and death. These symptoms typically occur rapidly within 24-48 hours following the bite. We describe a rare case of a 44-year-old male with fatal systemic loxoscelism with orbital compartment syndrome requiring emergent lateral canthotomy and cantholysis.
is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and has a mixture of many proteins, some of which function as proteases. Envenomation can cause necrotic skin lesions that may become extensive and take many months to heal. Even more rarely, venom may cause systemic effects, leading to widespread hemolysis, coagulopathy, and death. These symptoms typically occur rapidly within 24-48 hours following the bite. We describe a rare case of a 44-year-old male with fatal systemic loxoscelism with orbital compartment syndrome requiring emergent lateral canthotomy and cantholysis.
Author Watkins, Sarah A
Crandall, Eric
Meadows, Jonathan W
Shayesteh, Nima
AuthorAffiliation 3 Department of Emergency Medicine, Texas Tech University Health Sciences Center, West Texas Regional Poison Center, El Paso, USA
1 Department of Emergency Medicine, Franciscan Health Olympia Fields, Olympia Fields, USA
2 Department of Emergency Medicine, Del Sol Medical Center, El Paso, USA
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Cites_doi 10.1007/978-3-319-17900-1_119
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Copyright © 2024, Meadows et al. 2024 Meadows et al.
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Issue 5
Keywords poison center
loxoscelism
orbital compartment
brown recluse spider bite
lateral canthotomy
Language English
License Copyright © 2024, Meadows et al.
This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Snippet is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and has a...
Loxosceles is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and...
Loxosceles is an arachnid genus comprising several species in the United States, popularly known as brown recluse spiders. The venom is cytotoxic, complex, and...
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SubjectTerms Acidosis
Apheresis
Case reports
Compartment syndrome
Dopamine
Edema
Emergency Medicine
Hypotension
Insect bites
Intubation
Kinases
Pediatrics
Sepsis
Venom
Wound healing
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Title Fatal Viscerocutaneous Brown Recluse Envenomation With Orbital Compartment Syndrome
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