Tarantula spider bite: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Abdominal hairs may be flicked a short distance when threatened | |||
**Rarely penetrate human skin but can imbed deeply into conjunctiva and cornea | |||
*Bites can be painful but systemic symptoms other than fever are unusual | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Bites and stings DDX}} | |||
==Workup== | ==Workup== | ||
==Management== | ==Management== | ||
*Red eye and pain after handling a tarantula necessitates an ocular exam | |||
**Hairs may be difficult to detect on slit lamp | |||
*Treatment is surgical removal of hairs and topical steroids | |||
==Disposition== | ==Disposition== | ||
Revision as of 23:42, 11 March 2015
Background
Clinical Features
- Abdominal hairs may be flicked a short distance when threatened
- Rarely penetrate human skin but can imbed deeply into conjunctiva and cornea
- Bites can be painful but systemic symptoms other than fever are unusual
Differential Diagnosis
Envenomations, bites and stings
- Hymenoptera stings (bees, wasps, ants)
- Mammalian bites
- Closed fist infection (Fight bite)
- Dog bite
- Marine toxins and envenomations
- Toxins (ciguatera, neurotoxic shellfish poisoning, paralytic shellfish poisoning, scombroid, tetrodotoxin
- Stingers (stingray injury)
- Venomous fish (catfish, zebrafish, scorpion fish, stonefish, cone shells, lionfish, sea urchins)
- Nematocysts (coral reef, fire coral, box jellyfish, sea wasp, portuguese man-of-war, sea anemones)
- Phylum porifera (sponges)
- Bites (alligator/crocodile, octopus, shark)
- Scorpion envenomation
- Reptile envenomation
- Spider bites
Workup
Management
- Red eye and pain after handling a tarantula necessitates an ocular exam
- Hairs may be difficult to detect on slit lamp
- Treatment is surgical removal of hairs and topical steroids