The Turkish Journal of Pediatrics 2011 , Vol 53 , Num 1
A Rare Cause Of Severe Periorbital Edema And Dermonecrotic Ulcer Of The Eyelid İn A Child: Brown Recluse Spider Bite
Departments of ¹Pediatrics, ²Dermatology, and 4Ophtalmology, Dicle University Faculty of Medicine, and ³Diyarbakır Children’s Hospital, Diyarbakir, Turkey Taşkesen M, Akdeniz S, Taş T, Keklikçi U, Taş MA. A rare cause of severe periorbital edema and dermonecrotic ulcer of the eyelid in a child: Brown recluse spider bite. Turk J Pediatr 2011; 53: 87-90.

Spider bites are a worldwide problem. Brown recluse spider bites can lead to severe local or systemic clinical effects, such as edema, necrotic ulcer, rashes, fever, chills, nausea, vomiting, malaise, arthralgia, myalgia, hemolysis, leukocytosis, disseminated intravascular coagulation, renal failure, and death. Eyelid bites from brown recluse spiders are rare. We report a child with severe facial edema and a dermonecrotic ulcer on the eyelid. Upon laboratory examination, leukocytosis with a significant left shift was detected. The patient was treated with antibiotics, systemic corticosteroid and conservative therapy that included saline compresses and ocular lubrication. No surgical excision was required. Vision was not impaired. A dermonecrotic ulcer is a severe complication of brown recluse spider bites. Since the diagnosis is difficult, clinical and epidemiological findings and a detailed history are important for an accurate diagnosis. Keywords : spider, periorbital edema, dermonecrotic ulcer, eyelid, childhood

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