title: Wolf spider envenomation.
abstract: Although wolf spider venom has been implicated in necrotic arachnidism without acceptably documented verification, limited, prospectively collected data demonstrate a lack of cutaneous necrosis. The infrequent nature of exposure and inherent difficulty in confirming wolf spider bites in humans makes it challenging to study such envenomations. We present the case of a 20 year-old man with confirmed exposure to the wolf spider who developed cutaneous erythema with ulceration following the bite. There was no evidence of skin necrosis. He was treated with aggressive wound care and systemic antibiotics for wound infection, with subsequent resolution of symptoms. This case adds to the limited knowledge regarding wolf spider envenomations and describes the clinical effects and management of wolf spider envenomation.
authors.affiliation: New York City Poison Control Center and New York University School of Medicine, New York, NY 10016, USA. doczhanna@gmail.com
authors.forename: Zhanna
authors.initials: Z
authors.lastname: Livshits
authors.forename: Benjamin
authors.initials: B
authors.lastname: Bernstein
authors.forename: Louis N
authors.initials: LN
authors.lastname: Sorkin
authors.forename: Silas W
authors.initials: SW
authors.lastname: Smith
authors.forename: Robert S
authors.initials: RS
authors.lastname: Hoffman
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004890:Erythema / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D009336:Necrosis / Q000209:etiology / Q000473:pathology; D012867:Skin / Q000473:pathology; D012883:Skin Ulcer / Q000209:etiology* / Q000628:therapy; D001098:Spider Bites / Q000150:complications* / Q000628:therapy*; D013111:Spider Venoms / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D013111:Spider Venoms