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 in | Curēus (Palo Alto, CA) Vol. 16; no. 5; p. e60943 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Cureus Inc
23.05.2024
Cureus |
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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. |
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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 |
AuthorAffiliation_xml | – name: 3 Department of Emergency Medicine, Texas Tech University Health Sciences Center, West Texas Regional Poison Center, El Paso, USA – name: 1 Department of Emergency Medicine, Franciscan Health Olympia Fields, Olympia Fields, USA – name: 2 Department of Emergency Medicine, Del Sol Medical Center, El Paso, USA |
Author_xml | – sequence: 1 givenname: Jonathan W surname: Meadows fullname: Meadows, Jonathan W organization: Department of Emergency Medicine, Franciscan Health Olympia Fields, Olympia Fields, USA – sequence: 2 givenname: Nima surname: Shayesteh fullname: Shayesteh, Nima organization: Department of Emergency Medicine, Franciscan Health Olympia Fields, Olympia Fields, USA – sequence: 3 givenname: Eric surname: Crandall fullname: Crandall, Eric organization: Department of Emergency Medicine, Del Sol Medical Center, El Paso, USA – sequence: 4 givenname: Sarah A surname: Watkins fullname: Watkins, Sarah A organization: Department of Emergency Medicine, Texas Tech University Health Sciences Center, West Texas Regional Poison Center, El Paso, USA |
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Cites_doi | 10.1007/978-3-319-17900-1_119 10.1080/16078454.2022.2065086 10.1016/j.toxicon.2020.07.029 10.1016/j.toxicon.2022.05.044 10.1016/j.annemergmed.2011.12.011 10.1016/s0196-0644(97)70092-1 10.1016/S0161-6420(00)00183-4 10.1001/jamadermatol.2016.5665 10.1067/mem.2002.122914 10.12659/AJCR.932378 10.1080/15563650.2022.2132768 10.1177/0009922810388510 10.1016/j.ijbiomac.2021.10.005 10.1097/TME.0000000000000496 |
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Copyright | Copyright © 2024, Meadows et al. Copyright © 2024, Meadows et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2024, Meadows et al. 2024 Meadows et al. |
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Keywords | poison center loxoscelism orbital compartment brown recluse spider bite lateral canthotomy |
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References | Scordo KA (ref16) 2024; 46 Langner TR (ref14) 2021; 22 Repplinger DJ (ref3) 2019 Gomez HF (ref15) 2002; 39 Ramirez-Cruz MP (ref11) 2020; 186 ref17 Gummin DD (ref1) 2022; 60 Rosen JL (ref6) 2012; 60 Sánchez-Villegas Mdel C (ref12) 2014; 52 Calhoun B (ref10) 2022; 27 Jarvis RM (ref5) 2000; 107 Malaque CMS (ref2) 2017 Bey TA (ref7) 1997; 30 Stoecker WV (ref4) 2017; 153 Polli NL (ref9) 2021; 192 Quispe RL (ref8) 2022; 215 Hubbard JJ (ref13) 2011; 50 |
References_xml | – year: 2017 ident: ref2 article-title: Loxosceles spiders doi: 10.1007/978-3-319-17900-1_119 contributor: fullname: Malaque CMS – volume: 27 year: 2022 ident: ref10 article-title: Systemic loxoscelism induced warm autoimmune hemolytic anemia: clinical series and review publication-title: Hematology doi: 10.1080/16078454.2022.2065086 contributor: fullname: Calhoun B – year: 2019 ident: ref3 article-title: Arthropods contributor: fullname: Repplinger DJ – volume: 186 year: 2020 ident: ref11 article-title: Envenomations during pregnancy reported to the national poison data system, 2009-2018 publication-title: Toxicon doi: 10.1016/j.toxicon.2020.07.029 contributor: fullname: Ramirez-Cruz MP – volume: 215 year: 2022 ident: ref8 article-title: Partial in vivo protection against Peruvian spider Loxosceles laeta venom by immunization with a multiepitopic protein (rMEPLox) publication-title: Toxicon doi: 10.1016/j.toxicon.2022.05.044 contributor: fullname: Quispe RL – volume: 60 year: 2012 ident: ref6 article-title: Emergency department death from systemic loxoscelism publication-title: Ann Emerg Med doi: 10.1016/j.annemergmed.2011.12.011 contributor: fullname: Rosen JL – volume: 30 year: 1997 ident: ref7 article-title: Loxosceles arizonica bite associated with shock publication-title: Ann Emerg Med doi: 10.1016/s0196-0644(97)70092-1 contributor: fullname: Bey TA – volume: 107 year: 2000 ident: ref5 article-title: Brown recluse spider bite to the eyelid publication-title: Ophthalmology doi: 10.1016/S0161-6420(00)00183-4 contributor: fullname: Jarvis RM – volume: 153 year: 2017 ident: ref4 article-title: NOT RECLUSE—a mnemonic device to avoid false diagnoses of brown recluse spider bites publication-title: JAMA Dermatol doi: 10.1001/jamadermatol.2016.5665 contributor: fullname: Stoecker WV – volume: 39 year: 2002 ident: ref15 article-title: A new assay for the detection of Loxosceles species (brown recluse) spider venom publication-title: Ann Emerg Med doi: 10.1067/mem.2002.122914 contributor: fullname: Gomez HF – volume: 22 year: 2021 ident: ref14 article-title: Viscerocutaneous loxoscelism manifesting with myocarditis: a case report publication-title: Am J Case Rep doi: 10.12659/AJCR.932378 contributor: fullname: Langner TR – volume: 60 year: 2022 ident: ref1 article-title: 2021 Annual Report of the National Poison Data System© (NPDS) from America's Poison Centers: 39th Annual Report publication-title: Clin Toxicol (Phila) doi: 10.1080/15563650.2022.2132768 contributor: fullname: Gummin DD – volume: 50 year: 2011 ident: ref13 article-title: Complications and outcomes of brown recluse spider bites in children publication-title: Clin Pediatr (Phila) doi: 10.1177/0009922810388510 contributor: fullname: Hubbard JJ – volume: 192 year: 2021 ident: ref9 article-title: A protective vaccine against the toxic activities following brown spider accidents based on recombinant mutated phospholipases D as antigens publication-title: Int J Biol Macromol doi: 10.1016/j.ijbiomac.2021.10.005 contributor: fullname: Polli NL – volume: 52 year: 2014 ident: ref12 article-title: Systemic loxoscelism presented in a pregnant patient. (Article in Spanish) publication-title: Rev Med Inst Mex Seguro Soc contributor: fullname: Sánchez-Villegas Mdel C – volume: 46 year: 2024 ident: ref16 article-title: It's not a spider bite—it's MRSA! publication-title: Adv Emerg Nurs J doi: 10.1097/TME.0000000000000496 contributor: fullname: Scordo KA – ident: ref17 |
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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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