Canadian family physician Medecin de famille canadien · 2004
An approach to spider bites. Erroneous attribution of dermonecrotic lesions to brown recluse or hobo spider bites in Canada.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bennett Robert G, Vetter Richard S
Аннотация
OBJECTIVE: To dispel prevalent myths surrounding diagnosis of dermonecrotic and associated conditions supposedly resulting from bites of brown recluse, hobo, or other spiders in Canada.
SOURCES OF INFORMATION: Worldwide, spider bites are regularly misdiagnosed as the etiologic agents in human dermonecrosis mainly as a result of inaccurate, erroneous, or hyperbolic popular and professional literature based on inference, circumstantial evidence, inferior clinical trials, and misunderstanding of the facts regarding spider-bite envenomation.
MAIN MESSAGE: A working diagnosis of "spider bite" or publishing a case history should be considered only when a spider is caught in the act of biting or otherwise reliably associated with a lesion. Accurate identification of the spider could be critical for correct diagnosis and subsequent treatment.
CONCLUSION: Brown recluse spiders are not found in Canada. Hobo spiders have not been reliably implicated in dermonecrosis. Worldwide, spider-bite envenomation is an unlikely cause of dermonecrosis. Canadian physicians should give priority consideration to other, more likely, causes.
SOURCES OF INFORMATION: Worldwide, spider bites are regularly misdiagnosed as the etiologic agents in human dermonecrosis mainly as a result of inaccurate, erroneous, or hyperbolic popular and professional literature based on inference, circumstantial evidence, inferior clinical trials, and misunderstanding of the facts regarding spider-bite envenomation.
MAIN MESSAGE: A working diagnosis of "spider bite" or publishing a case history should be considered only when a spider is caught in the act of biting or otherwise reliably associated with a lesion. Accurate identification of the spider could be critical for correct diagnosis and subsequent treatment.
CONCLUSION: Brown recluse spiders are not found in Canada. Hobo spiders have not been reliably implicated in dermonecrosis. Worldwide, spider-bite envenomation is an unlikely cause of dermonecrosis. Canadian physicians should give priority consideration to other, more likely, causes.