A 47-year-old woman comes to the emergency department because of worsening pain, discoloration, and swelling of her right hand. Two days ago, she was camping outdoors in Texas with her two young children. She was awoken in the middle of the night by "something crawling on my hand." The following morning, she saw a wound on her hand that was initially painless, but over the next several hours she noticed reddening and blistering. Yesterday, the lesion turned blue with a blackish discoloration at the center. Her temperature is 38°C (100.4°F), pulse is 83/min, and blood pressure is 128/84 mm Hg. Physical examination shows a bluish plaque with a central area of necrosis surrounded by a rim of erythema at the dorsum of the right hand. Which of the following animals is most likely responsible for the patient’s symptoms?
- A)Bald-faced hornet
- B)Diamondback rattlesnake
- C)Brown recluse spiderGABARITO
- D)Striped bark scorpion
- E)Deer tick
Explicação
Brown recluse spiders are endemic to some regions of the southern (e.g., Texas), southeastern, and midwestern United States. They produce venom composed of various enzymes, some of which cause local destruction of tissue integrity, leading to the breakdown of ... Ver explicação completa e trilha adaptativa →