“I think something bit me.”. Gretchen Shaughnessy, MD Clinical Fellow Dept of Infectious Diseases 4/16/08. CC: Arm pain.
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Gretchen Shaughnessy, MD
Dept of Infectious Diseases
a small cavity in the subcutaneous area of the antecubital fossa that did involve the defect into the fascia, but there was no deep collection of pus, dead muscle or deeper involvement. There was a small amount of necrotic skin and subcutaneous tissue, all of which was debrided away.
Brown recluse spider bite
Staphylococcal or streptococcal cellulitis
VacciniaDDx of blackened eschar lesion
In North Carolina this is fairly unlikely
Literature looking at the falsely high incidence of “spider bites”Spider Bite?
Brown Recluse photo: R. Bessin, University of Kentucky Entomology.
Found 2055 confirmed Loxosceles reclusa from June-Nov 2001
No bites to family of four living in the home during that timeSpider Survey
Images from University of Kentucky Dept of Entomology.