Loxoscelesrufescens是一种可能咬人的蜘蛛。目的:描述红叶乳虫咬伤患者的临床表现和治疗方法。并呈现蜘蛛的扫描电子显微镜。描述了12名患者,捕获了7名确诊为病因学诊断的蜘蛛样本。在一个案例中,进行蜘蛛的扫描电子显微镜。7例患者出现不同形态的单个坏死性溃疡,化脓坏死床,位于颈部(一名患者),臀部(一名患者),大腿(一名患者),腿(三个病人)和脚(一个病人)。所有患者都抱怨烧灼感和疼痛。没有观察到全身症状。所有患者均接受次氯酸钠溶液包治疗,马过氧化氢酶凝胶,和聚六亚甲基双胍乳膏。加入口服镇痛药。在一个病人中,口服泼尼松。两名细菌感染患者接受了静脉内治疗。哌拉西林/他唑巴坦或i.m.头孢曲松。所有患者在八周内康复,然而,六名患者中有五名出现疤痕。由于红质乳杆菌叮咬引起的皮肤表现的顺序是典型的。起初,红斑和水肿形式,接着是一个囊泡,水泡或脓疱,最后,焦痂和疤痕。全身症状和体征很少见。将这种蜘蛛视为坏死性溃疡的病因,有必要捕获蜘蛛的样本,死还是活,然后应该由专家识别。皮质类固醇,抗生素和镇痛药经常使用。手术通常是必要的。
Loxosceles rufescens is a
spider that may bite humans. To describe the clinical manifestations and treatment of patients with bites caused by L. rufescens, and present scanning electron microscopy of the
spider. Twelve patients are described, seven with a confirmed aetiological diagnosis as a sample of the
spider was captured. In one case, scanning electron microscopy of the
spider was performed. Seven patients presented with a single necrotic ulcer of varying morphology, with a purulent-necrotic bed, located on the neck (one patient), buttock (one patient), thigh (one patient), legs (three patients) and foot (one patient). All patients complained of burning and pain. No systemic symptoms were observed. All patients were treated with sodium hypochlorite solution packs, an equine catalase gel, and polyhexamethylene biguanide cream. Oral analgesics were added. In one patient, oral prednisone was prescribed. Two patients with bacterial superinfections were treated with i.v. piperacillin/tazobactam or i.m. ceftriaxone. All patients recovered within eight weeks, however, a scar developed in five of six patients. The sequence of cutaneous manifestations due to L. rufescens bites is typical. At first, erythema and oedema forms, followed by a vesicle, blister or pustule and, finally, an eschar and scar. Systemic symptoms and signs are rare. To consider this spider as an aetiological agent of necrotic ulcers, it is necessary to capture a sample of the
spider, dead or alive, which should then be identified by an expert. Corticosteroids, antibiotics and analgesics are frequently used. Surgery is often necessary.