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      Verified envenomations by crevice weaver spiders (genus Kukulcania): Bites are of minor expression but the spiders are commonly misidentified as medically important brown recluses (genus Loxosceles) in North America

      case-report
      Toxicon: X
      Elsevier
      Venom, Misidentification, Araneae, Medical aspects, Signs and symptoms

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          Abstract

          From southern North America, five verified bites by crevice weaver spiders, Kukulcania spp. (Filistatidae), are presented here, three of which are pediatric cases. Although the envenomation manifestations were of minimal expression, the salient aspect of this report is that Kukulcania spiders are frequently misidentified as brown recluse spiders (genus Loxosceles) which are infamous for causing serious dermonecrosis and rarely, life-threatening systemic effects. Misidentification of this relatively harmless spider as a medically important recluse when presented to a physician in an envenomation episode could lead to unwarranted and overzealous treatment such as contraindicated debridement of the affected area.

          Highlights

          • Envenomation by Kukulcania spiders are of minor concern.

          • More importantly is that they are often misidentified as medically important Loxosceles spiders.

          • Misidentification by medical personnel could result in incorrect and harmful remedies.

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          Arachnids submitted as suspected brown recluse spiders (Araneae: Sicariidae): Loxosceles spiders are virtually restricted to their known distributions but are perceived to exist throughout the United States.

          An Internet offer was made to identify any spider in the United States perceived to be a brown recluse spider, Loxosceles reclusa Gertsch & Mulaik (Sicariidae). In total, 1,773 arachnids from 49 states represented three orders (Araneae, Solifugae, and Opiliones) and the identifiable spiders (Araneae) consisted of 38 families, 88 genera, and 158 recognizable species. Participants from states at least half within the known brown recluse distribution submitted Loxosceles spiders 32- 89% of the time, except Louisiana and Mississippi with no submissions. From 25 of 29 states completely or almost completely outside of the range of Loxosceles spiders, no recluse spiders were submitted. Only two discoveries of brown recluses and two of the worldwide tramp species Loxosceles rufescens (Dufour) were submitted from nonendemic Loxosceles areas. States on distribution margins of brown recluse or other native Loxosceles spiders were intermediate in their Loxosceles submissions. This study showed that 1) the general public perceives brown recluses to occur over wide-ranging areas of the United States; and 2) brown recluses are frequently submitted from endemic states and almost never from nonendemic states, and therefore are virtually limited to their known distributions. This study corroborates opinions that diagnosis of brown recluse spider bites is best restricted to areas historically supporting proven, widespread populations of Loxosceles spiders.
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            Arachnids misidentified as brown recluse spiders by medical personnel and other authorities in North America.

            Misidentification of harmless or nearly benign arachnids as Loxosceles spiders by medical personnel and other authorities proliferates misinformation in regard to alleged loxoscelism and leads to decreased health care. This is especially true in areas of North America where Loxosceles spiders are rare or non-existent. A diverse assemblage of such misidentified arachnids is presented here. It is hoped that authorities will honestly assess their arachnological limitations and, instead, seek qualified arachnologists for spider identifications.
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              Seasonality of brown recluse populations is reflected by numbers of brown recluse envenomations.

              A significant seasonal correlation was recently shown for brown recluse spider activity. Vetter (2011) observed brown recluse spiders were submitted by the general public predominantly during April-October. For patients with suspected brown recluse spider bites (BRSB), we have observed the same seasonality. Among 45 cases with features consistent of a BRSB, 43 (95.6%) occurred during April-October. Both the Vetter study and our study serve to demonstrate seasonal activity for brown recluse spiders. Copyright © 2012 Elsevier Ltd. All rights reserved.
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                Author and article information

                Contributors
                Journal
                Toxicon X
                Toxicon X
                Toxicon: X
                Elsevier
                2590-1710
                19 January 2022
                March 2022
                19 January 2022
                : 13
                : 100091
                Affiliations
                [1]Department of Entomology, University of California, Riverside, CA, 92521, USA
                Article
                S2590-1710(22)00001-7 100091
                10.1016/j.toxcx.2022.100091
                8789574
                94247ab6-d968-4b0d-8080-253f33d65f35
                © 2022 The Author

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 17 November 2021
                : 4 January 2022
                : 9 January 2022
                Categories
                Toxins from venomous and poisonous animal

                venom,misidentification,araneae,medical aspects,signs and symptoms

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