David B. Tarullo, MD, Ryan C. Jacobsen, MD, EMT-P, D. Adam Algren, MD

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Presentation transcript:

Two Successive Necrotic Lesions Secondary to Presumed Loxosceles Envenomation David B. Tarullo, MD, Ryan C. Jacobsen, MD, EMT-P, D. Adam Algren, MD Wilderness & Environmental Medicine Volume 24, Issue 2, Pages 132-135 (June 2013) DOI: 10.1016/j.wem.2012.11.004 Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 1 Endemic range of L reclusa. Adapted from original by Rick Vetter, University of California-Riverside. Used with permission. Wilderness & Environmental Medicine 2013 24, 132-135DOI: (10.1016/j.wem.2012.11.004) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 2 Bilateral thigh lesions. Wilderness & Environmental Medicine 2013 24, 132-135DOI: (10.1016/j.wem.2012.11.004) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 3 Detail of right lesion. Wilderness & Environmental Medicine 2013 24, 132-135DOI: (10.1016/j.wem.2012.11.004) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 4 Detail of left lesion. Wilderness & Environmental Medicine 2013 24, 132-135DOI: (10.1016/j.wem.2012.11.004) Copyright © 2013 Wilderness Medical Society Terms and Conditions

Figure 5 Brown recluse specimen. Note the distinguishing features of L reclusa: 6 eyes in 3 pairs of 2, and the finely haired exoskeleton without course bristles. Coloration is rusty brown, and many specimens feature a darker stripe along the abdomen. The classic violin-shaped marking is not always apparent. Photograph by Matt Britt, 2008, public domain. Wilderness & Environmental Medicine 2013 24, 132-135DOI: (10.1016/j.wem.2012.11.004) Copyright © 2013 Wilderness Medical Society Terms and Conditions