Cutaneous Loxoscelism

A 10-year-old healthy girl from a rural area in northeast Mexico was bitten on the right thigh by a spider resembling a brown recluse spider ( Loxosceles reclusa ). Five days later, a necrotic lesion and perilesional edema developed in the area of the bite, accompanied by fever. A 10-year-old healthy girl from a rural area in Northeast Mexico was bitten on the right posterior lateral thigh by a spider that had characteristics matching those of a brown recluse spider ( Loxosceles reclusa ). Five days later, a necrotic lesion with a diameter of 6.1 cm and perilesional edema developed in the area of the bite, accompanied by fever. The patient was treated with clindamycin, ceftazidime, acetaminophen, and ketorolac tromethamine. On day 8, débridement of the necrotic area was performed, with resolution of the fever and edema 12 hours later. On day 14, the patient was pain-free and . . .