Emergency department death from systemic loxoscelism.
Systemic loxoscelism is a constitutional illness resulting from the bite of the brown recluse spider. In severe form, it may cause hemolysis, acute renal failure, and disseminated intravascular coagulation. More rarely, it may result in death. We report an unusual case of systemic loxoscelism resulting in death less than one day following envenomation. We also discuss screening algorithms and contemporary management of systemic loxoscelism.
Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, TN, USA.
Jessica L
JL
Rosen
Jon K
JK
Dumitru
Emily W
EW
Langley
Christy A
CA
Meade Olivier
D063287:Brown Recluse Spider; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D001098:Spider Bites / Q000175:diagnosis* / Q000628:therapy; D013714:Tennessee