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

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Presentation on theme: "David B. Tarullo, MD, Ryan C. Jacobsen, MD, EMT-P, D. Adam Algren, MD "— Presentation transcript:

1 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 (June 2013) DOI: /j.wem Copyright © 2013 Wilderness Medical Society Terms and Conditions

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

3 Figure 2 Bilateral thigh lesions.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2013 Wilderness Medical Society Terms and Conditions

4 Figure 3 Detail of right lesion.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2013 Wilderness Medical Society Terms and Conditions

5 Figure 4 Detail of left lesion.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2013 Wilderness Medical Society Terms and Conditions

6 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  , DOI: ( /j.wem ) Copyright © 2013 Wilderness Medical Society Terms and Conditions

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