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Doctor insights on: Red Recluse Spider Bite

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I had asked a question earlier this week about itchy red spot. Now I think was a brown recluse spider bite?

I had asked a question earlier this week about itchy red spot. Now I think was a brown recluse spider bite?

Brown reculse: Brown recluse spider bites often go unnoticed initially because they are usually painless bites. Occasionally, some minor burning that feels like a bee sting is noticed at the time of the bite. Symptoms usually develop two to eight hours after a bite. Symptoms can include: severe pain at bite site after about 4 hours, severe itching, nausea, vomiting, fever, blistering, necrosis(tissue death). ...Read more

Brown Recluse Spider (Definition)

Three pairs of eyes instead of the usual four makes the identification of the spider, the eyes making the face look like a human skull.Treatment includes dapsone. Bites often get misdiagnosed, and are frequently bacterial infections like mrsa. Brown recluse venom is a vasoconstrictor, and Nitroglycerin causes vasodilation and theoretically can prevent necrosis. Treat ...Read more

Dr. J. Lawrence Dohan
Board Certified, Dermatology
51 years in practice
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May this be a brown recluse spider bite. Started out looking like a boil then it went down. The place then got real red, painfull and puss came out now it is red swollen and looks and feels like the tissue around it is kinda ruff and tender at the same t

May this be a brown  recluse spider bite. Started out looking like a boil then it went down. The place then got real red, painfull and puss came out now it is red swollen and looks and feels like the tissue around it is kinda ruff and tender at the same t

Brown recluse?: Did you see the spider? If not it may just be any insect. All punctures to the skin can lead to infection and pain. Wash with soap and water cover the area with a dressing and watch for fever, swelling and increased redness. See a doctor if you worsen. ...Read more

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Dr. J. Lawrence Dohan
Board Certified, Dermatology
51 years in practice
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Treating Insect Bites (Checklist)

Apply ice to bites
Once
Use topical corticosteroid cream on itchy bites
Daily
Seek medical attention if symptoms of shock develop
Once
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Do a lot of people get brown recluse spider bites?

Do a lot of people get brown recluse spider bites?

Not many: Brown recluse spiders are mostly in the midwest, usually in basements and hidden areas. They are not aggressive but will bite if disturbed. Most spider bites are by other species. Look for the fiddle pattern on the spider. Bites are rare but need serious attention as they lead to a persistent necrosis which can last for months. ...Read more

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What are the consequences of brown recluse spider bite in a child?

Tissue death: Brown recluse venom causes the tissue it touches to die, resulting first in the classic "red, white, and blue" sore, and then a painful ulceration of the skin. This can be very serious. See a doctor right away. ...Read more

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Treating Insect Bites (Checklist)

Clean bite with soap and water
once
Apply ice pack
once
Elevate and rest affected body part
once
For discomfort, use oral Benadryl or hydrocortisone cream
once
Board Certified, Dermatology
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How do people treat brown recluse spider bite?

How do people treat brown recluse spider bite?

NOT surgery: The drug Dapsone is often advocated, but there is no firm evidence that it helps. Nitroglycerine patches may be effective; brown recluse venom constricts blood vessels and Nitroglycerin dilates them, but again, no proof that it helps. Surgery is ineffective and may actually worsen the outcome. ...Read more

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What are the first symptoms of a spider bite from a brown recluse spider?

See below: Initially, the bite might go unnoticed or have some minor burning like a bee sting. The other symptoms then may develop from 2-8 hours later, but most bites cause little tissue destruction. Initially, the site might be red and may have small fang marks in the center. The rest of the possible symptoms are related to the time period after the bite and are too involved to list here. ...Read more

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Brown recluse spider bite. How can you tell you have one?

Brown recluse spider bite.  How can you tell you have one?

Brown recluse bite: Severe symptoms include blistering (common), necrosis (death) of skin and subcutaneous fat (less common), and severe destructive necrotic lesions with deep wide borders (rare). Minor symptoms include severe pain of bite site after 4 hours, severe itching, nausea, vomiting, fever, and myalgias (muscle pain). ...Read more

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What is the definition or description of: brown recluse spider bite?

Spider bites: The problem with brown recluse spider bites is that they can cause a large amount of tissue necrosis or tissue death. If you suspect you have been bitten by this type of spider you need to be seen by a physician asap. Good luck. ...Read more

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Dr. J. Lawrence Dohan
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51 years in practice
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