Ann Emerg Med. 2002 May;39(5):558-61.

Lyme disease masquerading as brown recluse spider bite.

Osterhoudt KC1, Zaoutis T, Zorc JJ.

Author information

1

Poison Control Center, the Division of Emergency Medicine, The Children's Hospital of Philadelphia, PA 19104, USA. osterhoudtk@email.chop.edu

Abstract

We report a case of Lyme disease with clinical features resembling those described from brown recluse spider bites. The most striking manifestation was a necrotic skin wound. Brown recluse spider bites may be overdiagnosed in some geographic regions. Tick bite and infection with Borrelia burgdorferi should be considered in the differential diagnosis of necrotic arachnidism in regions endemic for Lyme disease.

Comment in

• The diagnosis of brown recluse spider bite is overused for dermonecrotic wounds of uncertain etiology. [Ann Emerg Med. 2002]

PMID:

11973566

[Indexed for MEDLINE]

Link Here- https://www.ncbi.nlm.nih.gov/pubmed/11973566