A life-threatening situation due to a spider bite : a non-infectious necrotizing fasciitis

Published online: Jun 27 2017

Juan Miguel Rodríguez-Roiz et al

From the Department of Orthopedic Surgery and Trauma, Hospital Clinic de Barcelona, University of Barcelona, Spain.


We present the case of a healthy patient who sustained a spiderbite in the elbow and developed a non-infectious necrotizing fasciitis in the affected limb. Female patient aged 24 pain reported a spiderbite received some 72 h previously in Mexico (the spider was identified as a brown recluse spider-Loxosceles reclusa). Under the suspected diagnosis of necrotizing fasciitis urgent surgery was indicated. During her hospital stay, the patient required three additional surgical procedures, and was discharged from hospital 30 days after admission. Spider bites in the limb may be limb-threatening and life-threatening. Emergency doctors should be aware of this possibility, because spiders can be unintentionally transported all over the world.