Follow-up on #Spider-bite and #Infection (days are from init | Figure 1

Follow-up on Spider Bite and Infection

Follow-up on #Spider-bite and #Infection (days are from initial incision, drainage and debridement).

• Pic. 1: +3 days, just before another debridement.
• Pic. 2: +7 days before debridement.
• Pic. 3+4: +3 weeks, before and after debridement.
• Pic. 5: +7 weeks.

Patient was originally treated under primitive conditions in Madagascar (without cultures available), with daily wound care and 10 days of Amoxi/Clavu. When arrived in home country culture was positive for S. aureus resistant to penicillin and erythromycin but sensitive to Dicloxacillin. 10 day course given + weekly wound care. Spider was never caught but several other people were bit (one was bit 7 times) at the same geographical location and with similar symptoms - developing pain, local necrosis with eschar, no systemic symptoms and not always infection. Therefore still suspected sac spider bite. Can post pictures from these bites as well if there's interest.