Osterhoudt KC, Zaoutis T, Zorc JJ
Ann Emerg Med 2002 May 39:558-61

 Ann Emerg Med ? Volume 39 ? Issue 5

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.

MeSH

Animal; Arachnidism; Borrelia burgdorferi; Case Report; Child; Comparative
Study; Diagnosis, Differential; Human; Lyme Disease; Male; Necrosis; Skin;
Spiders

Comments
Ann Emerg Med. 2002 May;39(5):544-611973562
Author Address
Poison Control Center, the Division of Emergency Medicine, The Children's