Quote:
Originally Posted by borderline
i would much rather lose all my toes than to be bit by a brown recluse.
Then you would be making a poor choice.
Quote:
Originally Posted by swingdoc
Thousands and thousands of people are bitten by brown recluse spiders every year. Nearly every adult who lives in indigenous areas has been bitten. Very few actually require medical care.
The actual incidence of brown recluse bites is not known; but, I suspect that you are, for the most part, correct in saying that "thousands and thousands" are bitten each year. The reason that the incidence of bites isn't known is because most don't require medical care and folks aren't even aware of what bit them. However, I don't agree that most adults living in indigenous areas have been bitten.
Quote:
Originally Posted by Tilt-N-Spew
I would think that people have all different types of reactions...
This is close to being the truth. The range of "reactions" to a brown recluse bite vary depending an individual's sensitivity to the venom and the amount of venom injected on that particular bite. Most bites just cause minor, localized skin irritation that would be ignored if the person didn't see the spider that bit them.
You experienced an intermediate reaction in that the bite got infected and formed an abscess which required draining. Abscess formation or cellulits (a skin infection) isn't unique to brown recluse bites. Any "bug bite" that violates the integrity of the skin can potentially get infected.
At the far end of the spectrum, a brown recluse bite can cause skin necrosis (i.e., skin death). Fortunately, this is not common, nor is it the result of most bites. Here are few more facts about the skin necrosis caused by the brown recluse.
1) There is no medical test that can predict which people will suffer this effect.
2) There is no test that can determine the amount or extent of skin necrosis that an individual will ultimately get following a bite. Most plastic surgeons will wait 3 or 4 weeks before resecting the area of necrosis, especially if the wound is big enough to require skin grafting. If it's resected too early, then grafted, the wound margins can continue to necrose and the graft can also die.
3) There really is no proven treatment in limiting the amount of necrosis that is going to occur. Steroids are generally given, but there have been no definitive studies proving their efficaciousness in attenuating the damage.
On a side note, I was a resident on Dr. Riley Reese's plastic surgery service at Vanderbilt. He worked on a vaccine that could be given after a bite that would prevent the skin necrosis. Sadly, he was not succesful.
I have seen hundreds of possible brown recluse bites over a 25+ year ER career. I say "possible" because most people don't bring the spider to the ER for identification since it's worn off the bottom of their shoe before they get there. Most folks that seek immediate care are usually doing so because they're scared ****less that the spider that bit them was a brown recluse and that there going to be losing most of their skin. In an effort to ameliorate their angst, an amatuer arachnologist friend of mine preserved some of the critters and put them in a glass case that I keep in the ER. I show this collection to patients and ask them if the spider that bit them looked like any of those in the case. Most people are relieved that their bite was not caused by a brown recluse. The others remain scared ****less.
If I can remember, I'll post a pic of the collection for your viewing pleasure. I think you'll be quite surprised by the variation in the size and appearance of these spiders.
Oh... I have no idea what kind of spider is shown in the OP.