Trachelas tranquillus envenomation with presumed bacterial superinfection in a child

Pediatric Dermatology
Robert J SmithAlbert C Yan

Abstract

A 27-month-old girl with a history of congenital myopathy presented with two indurated, pink plaques involving the right arm and left thigh. Closer examination identified central puncta within these plaques, which reportedly occurred at sites of witnessed arachnid bites. After confirmation of the spider species as Trachelas tranquillus, she was treated to address cutaneous inflammation and suspected superinfection using oral and topical antibiotics as well as topical corticosteroid resulting in prompt resolution of her lesions. Trachelas tranquillus should be considered as a possible source of inflammatory spider bites that can become superinfected.

References

Apr 25, 1973·Journal of Medical Entomology·G W Uetz
Sep 20, 2007·Annual Review of Entomology·Richard S Vetter, Geoffrey K Isbister
Oct 4, 2014·Journal of Medical Entomology·Charles R Vossbrinck, William L Krinsky
Dec 3, 2014·Toxicon : Official Journal of the International Society on Toxinology·Richard S VetterJulian White
Jan 13, 2015·Seminars in Cutaneous Medicine and Surgery·Jun K KangRobert A Schwartz
Feb 16, 2017·JAMA Dermatology·William V StoeckerJonathan A Dyer

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