title: Brown recluse spider bite to the upper lip.
abstract: Brown recluse spiders are predominantly found in south central United States. Their bites usually cause mild self-limiting reactions, although localized tissue necrosis and rare systemic, potentially fatal, envenomations are known to occur. Herein, we report an atypical presentation of a brown recluse bite in a 20 year old female who was admitted to the intensive care unit due to angioedema and cellulitis. We photographically document the bite site for twenty-four hours following envenomation. She received glucocorticoids, antihistamines, antibiotics and dapsone while hospitalized and was subsequently discharged with complete resolution of symptoms without the development of tissue necrosis or scarring.
authors.forename: Ryan K
authors.initials: RK
authors.lastname: Dare
authors.forename: Kelly B
authors.initials: KB
authors.lastname: Conner
authors.forename: Poliana C
authors.initials: PC
authors.lastname: Tan
authors.forename: Robert H
authors.initials: RH
authors.lastname: Hopkins
mesh_terms: D000707:Anaphylaxis / Q000209:etiology* / Q000473:pathology; D000818:Animals; D001131:Arkansas; D001733:Bites and Stings / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D008046:Lip / Q000293:injuries* / Q000473:pathology; D010727:Phosphoric Diester Hydrolases / Q000009:adverse effects*; D013111:Spider Venoms / Q000009:adverse effects*; D013112:Spiders; D055815:Young Adult
chemical_list: D013111:Spider Venoms; C055161:loxosceles venom; D010727:Phosphoric Diester Hydrolases