The Experts below are selected from a list of 303 Experts worldwide ranked by ideXlab platform

Sean P Bush - One of the best experts on this subject based on the ideXlab platform.

Donna Seger - One of the best experts on this subject based on the ideXlab platform.

  • clinical presentation and outcome of brown recluse Spider Bite
    Annals of Emergency Medicine, 1997
    Co-Authors: Seth W Wright, Keith Wrenn, Lindsay Murray, Donna Seger
    Abstract:

    Abstract Study objective: To examine the clinical presentation and outcome of patients treated in the ED or toxicology clinic for suspected brown recluse Spider Bites. Methods: We assembled a retrospective case series of patients at a southeastern US university hospital. Our study group comprised 111 patients with suspected brown recluse Spider Bites treated during a 30-month period. Our main outcome measures were the need for skin grafting and the development of other complications. Results: The mean age of our subjects was 34±17 years. Thirteen patients (12%) brought the Spider to the hospital, 22 (20%) saw a Spider at the time of the Bite, and an exclusively clinical diagnosis was made in the remaining 76 (68%). Most wounds (59%) involved the leg. At the time of presentation, 81% had central discoloration and 37% necrosis. Sixteen patients (14%) were systemically ill, and 6 (5%) were admitted to the hospital. Most (86%) were treated with antibiotics. Dapsone was infrequently used (9%) and had usually been prescribed before the patient's presentation to our ED. Only three patients (3%; 95% confidence interval, 1% to 8%) required skin grafting. Mild hemolytic anemia developed in one patient, and another had mild hemolysis and a mild coagulopathy; neither patient was taking dapsone. No deaths or serious complications occurred in our study group. Conclusion: In our series, long-term outcome after brown recluse Spider Bite was good. Serious complications were rare, as was the need for skin grafting. Because the vast majority of Bites heal with supportive care alone, aggressive medical therapy does not appear warranted. [Wright SW, Wrenn KD, Murray L, Seger D: Clinical presentation and outcome of brown recluse Spider Bite. Ann Emerg Med July 1997;30:28-32.]

  • hemolytic anemia following a presumptive brown recluse Spider Bite
    Clinical Toxicology, 1994
    Co-Authors: Lindsay Murray, Donna Seger
    Abstract:

    AbstractThis case report describes a systemic reaction occurring in a 12-year-old female following presumed envenomation by a brown recluse Spider (Loxosceles reclusa). The systemic reaction included self-limited hemolysis necessitating blood transfusion. The clinical course and management are described and compared with those of previously reported cases of systemic loxoscelism.

Michael Grimley - One of the best experts on this subject based on the ideXlab platform.

Jennifer Cohen - One of the best experts on this subject based on the ideXlab platform.

  • case report compartment syndrome after a suspected black widow Spider Bite
    Annals of Emergency Medicine, 2005
    Co-Authors: Jennifer Cohen, Sean P Bush
    Abstract:

    Widow Spider envenomations generally produce systemic neurologic syndromes without significant local injury. We report a patient who sustained a black widow Spider Bite to the left forearm and presented to the emergency department with rhabdomyolysis and compartment syndrome. We documented a decrease in symptoms and compartment pressure after administration of antivenom. No surgical intervention was performed. We believe this report to be the first documenting compartment syndrome associated with black widow Spider Bite.

Richard S Vetter - One of the best experts on this subject based on the ideXlab platform.

  • Verified Spider Bites in Oregon (USA) with the intent to assess hobo Spider venom toxicity.
    Toxicon, 2014
    Co-Authors: Nathanael J. Mckeown, Richard S Vetter, Robert G. Hendrickson
    Abstract:

    Abstract This study compiled 33 verified Spider Bites from the state of Oregon (USA). The initial goal was to amass a series of Bites by the hobo Spider to assess whether it possesses toxic venom, a supposition which is currently in a contested state. None of the 33 Bites from several Spider species developed significant medical symptoms nor did dermonecrosis occur. The most common Biters were the yellow sac Spider, Cheiracanthium mildei ( N  = 10) and orb-weavers of the genus Araneus ( N  = 6). There were 10 Bites from three genera of funnel web Spiders of the family Agelenidae including one hobo Spider Bite and one from the congeneric giant house Spider which is readily confused as a hobo Spider. The hobo Spider Bite resulted in pain, redness, twitching in the calf muscle and resolved in 12 h. Also generated from this study were possibly the first records of Bites from Spiders of the genera Callobius (Amaurobiidae) and Antrodiaetus (Antrodiaetidae), both with minor manifestations.

  • caveats in interpreting poison control centre data in Spider Bite epidemiology studies
    Public Health, 2006
    Co-Authors: Richard S Vetter, R B Furbee
    Abstract:

    33-3506/$ see front matter Q 200 i:10.1016/j.puhe.2005.05.004 * Corresponding author. Address: De iversity of California, Riverside, CA 7 7052; fax: C1 951 827 3086. E-mail address: rick.vetter@ucr.ed A recent article in Public Health employed poison control centre (PCC) databases in a Texan Spider Bite epidemiology study. We would like to point out some cautionary reasons why these databases are not completely reliable; authors utilizing PCC Spider Bite information are typically unaware of these potential weaknesses. Although these databases are useful for some conditions where the causative agent is not easily mistaken (e.g. snake Bite, antifreeze poisoning, acetaminophen poisoning), Spiders are frequently blamed worldwide for causing skin lesions when the actual aetiologies encompass a wide spectrum of medical conditions of diverse origin with no relationship to envenomations, including Lyme borreliosis, basal cell carcinoma, infections, anthrax and chemical burns. Data reported to a PCC emanate from medical personnel (physician, paramedic,

  • An approach to Spider Bites. Erroneous attribution of dermonecrotic lesions to brown recluse or hobo Spider Bites in Canada.
    Canadian Family Physician, 2004
    Co-Authors: Robert G. Bennett, Richard S Vetter
    Abstract:

    OBJECTIVE To dispel prevalent myths surrounding diagnosis of dermonecrotic and associated conditions supposedly resulting from Bites of brown recluse, hobo, or other Spiders in Canada. SOURCES OF INFORMATION Worldwide, Spider Bites are regularly misdiagnosed as the etiologic agents in human dermonecrosis mainly as a result of inaccurate, erroneous, or hyperbolic popular and professional literature based on inference, circumstantial evidence, inferior clinical trials, and misunderstanding of the facts regarding Spider-Bite envenomation. MAIN MESSAGE A working diagnosis of “Spider Bite” or publishing a case history should be considered only when a Spider is caught in the act of biting or otherwise reliably associated with a lesion. Accurate identifi cation of the Spider could be critical for correct diagnosis and subsequent treatment. CONCLUSION Brown recluse Spiders are not found in Canada. Hobo Spiders have not been reliably implicated in dermonecrosis. Worldwide, Spider-Bite envenomation is an unlikely cause of dermonecrosis. Canadian physicians should give priority consideration to other, more likely, causes. RESUME

  • the diagnosis of brown recluse Spider Bite is overused for dermonecrotic wounds of uncertain etiology
    Annals of Emergency Medicine, 2002
    Co-Authors: Sean P Bush, Richard S Vetter
    Abstract:

    Abstract [Vetter RS, Bush SP. The diagnosis of brown recluse Spider Bite is overused for dermonecrotic wounds of uncertain etiology. Ann Emerg Med. May 2002;39:544-546.]