1921
Volume 7, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645
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Abstract

Summary

Necrotic arachnidism in Missouri is strikingly similar to “gangrenous spot” or cutaneous arachnidism of South America caused by . A typical case report presents a distinctive clinical picture quite unlike that due to a black widow bite. Severe pain develops at the site of the bite and within the next 24 to 36 hours a systemic response is likely to occur, characterized by restlessness, fever, and at times the development of a generalized scarlatiniform eruption. Locally an ischemic area develops, surrounded by redness and extravasated blood, and becoming rapidly neerotic, with a central sloughing area which forms a deep ulcer exposing at times the underlying muscles. Slow gradual evolution with scarring follows. Experiments with , the probable agent of necrotic arachnidism in Missouri, and laboratory animals showed that the spider produces a powerful necrotoxin which it can readily inject into the skin of mammals, producing in the guinea pig tissue damage characterized by local hemorrhage, acute inflammatory cell reaction and, within three or four days, liquefaction with the formation of an abscess resulting in granulation and scarring. There is some species variation, rabbits being more susceptible than guinea pigs. The venom of both sexes of was found to be toxic. Rabbits were immunized after four bites or injections of venom. has been collected readily from the homes of patients with “brown spider bite” and appears to be a common house spider in Missouri.

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/content/journals/10.4269/ajtmh.1958.7.165
1958-03-01
2017-09-24
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