蜘蛛咬伤,包括隐居蜘蛛的叮咬(Loxosceles,也被称为棕色蜘蛛),通常会导致局部症状;然而,文献中也报道了严重的全身症状.蜘蛛咬伤的管理是基于症状。在涉及血管性水肿发展的严重病例中,溶血性贫血,皮肤坏死合并细菌感染或弥散性血管内凝血,抗生素,类固醇,输血,和血浆置换也可能发挥作用。我们介绍了一例棕色隐士蜘蛛咬伤,导致有症状的溶血性贫血和黄疸,需要输血。
Spider bites, including the bites of recluse spiders (Loxosceles, also known as brown spiders), usually lead to local symptoms; however, severe systemic symptoms have also been reported in the literature. Management of spider bites is based on symptoms. In severe cases involving the development of angioedema, hemolytic anemia, skin necrosis with superimposed bacterial infection or disseminated intravascular coagulation, antibiotics, steroids, blood transfusions, and plasma exchange may also play a role. We present a case of a brown recluse spider bite resulting in symptomatic hemolytic anemia and jaundice requiring blood transfusion.