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著者:Mark Bisanzo and Kurt Eifling
 
Abstract
Emergency medicine practitioners care for patients who complain of having been bitten by spiders. This chapter describes how to assess and manage North American brown recluse and black widow spider bites, and how to differentiate them from other clinical mimics such as abscess.
 
Keywords
black widow
brown recluse
skin necrosis
spider bite
Spider envenomation
tarantula

Presentation  
    Occasionally patients will come in with a dead or captured spider after having rolled over it in bed or finding it in their clothing while dressing. They may have felt a minor pinprick sensation or no discomfort at all. Early presentations may show only mild erythema at the suspected bite site. Burning pain, pruritus, and swelling may develop within a few hours of the bite.
     
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