Evidence map›Paper›PMID 27440851›Full record

ArticleBMJ case reports2016

Rare case of dermonecrosis caused by a recluse spider bite in Europe.

Monique Cachia, Liam Mercieca, Charles Mallia Azzopardi, Michael J Boffa

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Spider bites of medical significance in the Mediterranean area: misdiagnosis, clinical features and management.The journal of venomous animals and toxins including tropical diseases · 2020
    Review
  3. Brown recluse (BMJ case reports · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Monique CachiaDepartment of Medicine, Mater Dei Hospital, Msida, Malta.
Liam MerciecaDepartment of Dermatovenerology, Sir Paul Boffa Hospital, Floriana, Malta.
Charles Mallia AzzopardiDepartment of Infectious Disease, Mater Dei Hospital, Msida, Malta.
Michael J BoffaDepartment of Dermatovenerology, Sir Paul Boffa Hospital, Floriana, Malta.
Mater Dei Hospital · MTSir Paul Boffa Hospital · MT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spider poisoning is rare in Europe, with very few reported cases in the literature. Recluse spider (genus Loxosceles) bites may lead to cutaneous and systemic manifestations known as loxoscelism. We report the second known case of spider bite poisoning in Malta caused by Loxosceles rufescens (Mediterranean recluse spider). A young adult female presented with localised erythema and pain on her left thigh after a witnessed spider bite. Over a few days, the area developed features of dermonecrosis together with systemic symptoms, including fever, fatigue and a generalised erythematous eruption. She was managed by a multidisciplinary team and the systemic symptoms resolved within 6 days, while the skin lesion healed with scarring within 2 months. A recluse spider bite should be considered in patients with dermonecrosis. Although spider bite poisoning is uncommon in Europe, it is important to diagnose and manage it appropriately since it could lead to potentially serious sequelae.

Indexed as

Brown Recluse SpiderAdultAnimalsCicatrixEuropeFemaleHumansNecrosisSkinSpider BitesYoung Adult

Identifiers

PMID27440851
PMCPMC4964194
OpenAlexW2504731196

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.