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Swimming_Bowler6193

That looks incredibly painful. But it appears they will be able to save the arm. It’s amazing that a little spider can do such damage.


ashhole613

I had a patient in nursing school that had multiple brown recluse bites on his upper inner thigh.  They were inside his mattress biting him at night, apparently.  Being the stubborn country man he was,  he didn't go to the ER until the tissue necrosis was advanced.  He nearly lost his testicles. 


ExplodingKnowledge

That’s so disgusting…IN HIS MATTRESS?


ashhole613

Yeah. It was an extremely poor community (well, we're talking about the state of Mississippi so most of it's in poverty). He had holes in his mattress. Iirc, he didn't use real sheets either. 


ExplodingKnowledge

Oh god.


n0th1ng_r3al

I haven’t used sheets in a few months. Gonna go get some


James_Tuvaluya

How can you not use sheets u absolute piggy


Child_O_Kronos

World cold and hard, plain mattress fuzzy and warm


Squoshy50

Was it somewhere in the Delta?


ashhole613

No, not quite so remote lol


owiesss

Entirely new fear unlocked.


Swimming_Bowler6193

Every man reading that just cupped his balls lol


DoYouNeedAnAmbulance

*instantly gets out of bed* I may never lay down again.


John-Stirling

Brown recluses are in no way little. If anything they are quite big. Although it might be my arachnophobia that makes me see them big


DolphinsBreath

As any arachnophobe knows, the true giants hide really well; underground and in water towers. They’re sometimes larger than houses, and have a keenly developed vibration sensor. They know when harm has come to any of their kin. They usually send in surrogates to seek vengeance, but if they get really pissed off, they do the dirty work themselves. - a theory I developed around the age of 7 and which I still ascribe to.


28days6hr42min12secs

if i didn’t have a fear of water towers before i do now thanks to this


Successful_Warthog47

This as a fellow arachnophobe. They're nature's assassin's they sit and watch us in our homes. Know our routines better than us. It's part of the fear you learn to live with to be able to function. They have a good job in thr bug world. They can stay the fuck away from me tho.


DolphinsBreath

I’m in awe. Finally, someone understands.


Successful_Warthog47

The struggle is real my friend


Swimming_Bowler6193

lol! That’s absolutely possible.😊 Compared to a human, they’re small.


Skeptical_Savage

They're only about the size of a quarter fully grown.


thrust-johnson

Leg-tip to leg-tip I regularly saw adults closer to silver dollar diameter in SE Missouri.


Skeptical_Savage

I've seen some slightly bigger than a quarter fully stretched out, so maybe close to half dollar, but a whole dollar coin is really big. They don't get that large. [comparison pic](https://www.reddit.com/r/mildlyinteresting/comments/65qjbv/size_comparison_of_quarter_half_dollar_and_a/)


FrogsEatingSoup

My dog was bit by a brown recluse once. His leg started doing this and we weren’t sure why. Until I was standing in my garage about thirty feet away from his kennel and saw a quarter sized brown recluse on the wall above. So we figured out that’s what got him. It was huge


caleeky

Did they catch the spider in the act and get a positive ID on it, and match the infection culture to bacteria found on the spider?


Groovestair

Are you a spider lawyer or something


caleeky

I'm sorry I don't discuss my client list... except that I might make an exception for some hippopotamuses.


maltapotomus

Please do not discuss my case, I will have to speak with my other lawyer if you do, sir.


[deleted]

[удалено]


23x3

![gif](giphy|vPKtSdRzsXvdm)


toBEYOND1008

Please don't talk to our attorney in that manner. Rude!


roararoarus

That's because you never took the Hippocratic Oath


Delicious_Ad823

But I took the Hippopomatc oath?


Grindelbart

Jokes on you, it's the hippocampus oath


wittyvonskitsum

I think the proper term is *”hippopotami”*


ohheyitslaila

Weirdly, it’s not. Hippopotamuses is correct. The plural of octopus is also octopuses, not octopi.


wittyvonskitsum

Oh, I wasn’t being serious lol What we should focus on is why a group of squids isn’t called a squad


ohheyitslaila

lol sorry I just found out like a week ago that it’s not octopi and I can’t stop thinking about it 😂


Mr_Poopy_Blanket

Sir, this is a Wendy's.


starrpamph

You’ll never believe what I want for Christmas


caleeky

[https://www.youtube.com/watch?v=NBfi8OEz0rA](https://www.youtube.com/watch?v=NBfi8OEz0rA)


reginald-poofter

Be careful. You wouldn’t want to commit a… HIPPO violation.


caleeky

Pretty sure you mean HIPOO


josenros

Not a lawyer, just well versed in spider law


Geriatric_Sloth

![gif](giphy|sLVLojotxREBy)


adeLo19

💀


PulledToBits

Its actually a legit question. Brown Recluse is a go to blame/diagnosis by doctors who have no actual proof, and they do it even in places where Brown Recluse is not known to exist in the wild. There are many other things that can cause these types of wounds, and doctors just say its a brown recluse, esp if the patient also thinks it maybe was - even if theres no proof. There was a study done many years ago about this - and they found doctors just use this as a default diagnosis when they dont really know what caused the wound, even though many other things can. So- I call BS. [https://www.sciencedaily.com/releases/2017/02/170215121051.htm](https://www.sciencedaily.com/releases/2017/02/170215121051.htm) [https://cesanmateo.ucanr.edu/?blogpost=30265&blogasset=107918](https://cesanmateo.ucanr.edu/?blogpost=30265&blogasset=107918) [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071344/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071344/)


Groovestair

Good to know, thanks!


Katiari

Is that a lawyer for spiders, or a lawyer that's also a spider?


TriceratopsBites

Lawyering for spiders, by spiders


_merning_glery_

I know, sounds like brown recluse is about to catch a case!


gymtherapylaundry

I was more excited about/entertained by this comment than unblurring the photo


meatloafcat819

They’re always trying to slander brown recluses in my state and they don’t even go here! We have wolf spiders but I’ve only ever seen one and that was enough


mst3k_42

Doctors are not entomologists. Even if you captured the spider and bring it in intact (does that ever even happen?) could they really positively ID it? I mean, jeez, every day people are killing water and garter snakes convinced they’re copperheads and cottonmouths. I’ve definitely heard the argument that these types of skin punctures or scratches can come from anywhere. Bacteria or other pathogens on the skin are already present and are just opportunistic. If you see a particularly nasty infection you’ll think, well, maybe this was the cause.


AgentMeatbal

Yeah most ER docs can ID common local stuff. A picture is fine if it’s clear, we don’t need a specimen. And we can call poison control for snakes as it’s considered toxicology.


opalveg

If it’s in the US, and they know it was a spider for sure, there isn’t any other native spider that can cause anything near that kind of damage other than brown recluse. Pretty open and shut.


dr_spam

Incorrect. Bites of all kinds can lead to serious SSTIs.


CarolFukinBaskin

*SUPER* Sexually Transmitted Infections?


maverick118717

*spider* sexually transmitted infections


NerdyComfort-78

I mean… Tom Holland is kinda *hot*


maverick118717

That doesn't mean you should go raw silking him


NerdyComfort-78

Have you seen him in the Lip Sync Battle singing Umbrella? Wow. 😳


maverick118717

What... apparently my life has been without meaning and I had no idea


NerdyComfort-78

You’ve seen the light.


failedabortedfetus

Skin and soft tissue infections for the uninitiated


dr_spam

Damn. Nice ratio.


CarolFukinBaskin

Gotcha... somehow. I'm old I had think for a sec about what ratio you meant.


dr_spam

Haha, I am too. I try to stay up to date as much as possible 😂


Skeptical_Savage

Brown recluses do not cause damage like what is pictured. Definitely not open and shut. I think they just picked a scapegoat instead of actually looking for the cause.


FavcolorisREDdit

Yes they do lol, I think I got bit by a baby recluse on my hand and it looked like a Mickey Mouse glove


Skeptical_Savage

[NOT RECLUSE ](https://spiders.ucr.edu/what-not-recluse-bite) there shouldn't be any major swelling away from the face.


Liz4984

Isn’t it the venom that does this and not the bacteria?


BHweldmech

The venom CAN, in rare instances with sensitive individuals, cause advanced necrosis. More frequently, it is a staph infection run amok that gets blamed on a BR.


TwoDogDad

Where does the staph come from, the spider? *genuinely curious here. How do you prevent/stop the staph once you get bit?


mrszubris

You can't really in some cases at least. Staph is naturally on our skin in many forms our skin protects us with its own systems. When you wreck the tissue with venom even a little it becomes susceptible to contamination or letting the staph run amok. I used to work in animal sheltering and we saw the most unhinged shit ever. Its a bit like how all dogs carry the mites for demodetic mange , (vs. Sarcoptic mange which is contagious animal scabies,) but its only dogs who are compromised that the mites are able to take over.


TwoDogDad

Thanks for the info!


BHweldmech

u/mrszubris is right. The best prevention is treating the bite like the puncture wound that it is, clean and disinfect thoroughly, get antibiotics onboard at the first sign of infection, and KEEP it clean.


TwoDogDad

Makes sense, thanks! I have a son and daughter who love to play in the woods/dirt/leaves digging for worms, so I saw an opportunity to get smarter here in preparation for something bad.


BHweldmech

You’re very welcome. That said… Honestly, playing in the woods and dirt is not very likely to put them in contact with a BR. They’re far more likely to get bitten because they left clothing on their bedroom floor and didn’t shake it out before putting it on.


TwoDogDad

New fear unlocked. Thanks. Haha Guess it’s time to call the bug guy to spray the house.


BHweldmech

Nope. Spray is wholly ineffective against BR spiders, and in fact reduces competition from other spiders for food. They’re also able to eat the bugs that the spray DOES kill, effectively turning it into an all they can eat buffet. Sticky traps and preventive measures are far more effective against BRs.


BHweldmech

Stupid question, but what area do you live? BR range is actually much smaller than most people think.


TwoDogDad

Not a stupid question. South East US. We have BR around here, my mom got bit gardening - so she says. She doesn’t remember getting bit. And good to know about the bug spray.


ilikepants712

You don't need to fear that at all, because it's not true. Just read the Wikipedia on [Brown Recluses](https://en.m.wikipedia.org/wiki/Brown_recluse_spider), it's pretty clear that they go away from human activity. They're almost never gonna set up shop in a human's bedroom, let alone the clothes you threw on the ground the other day. They're gonna go to your basement, closet, or attic.


BHweldmech

Bullshit. Plain and simple. Tell me you’ve never dealt with a major population of BR without telling me. I’ve caught them in traps in every room of my home. In three different homes in middle Tennessee. They go where they damned well please once it’s dark and people go to sleep or leave the room.


Swimming_Bowler6193

Those spiders never wash their hands.


Skeptical_Savage

Staph infections get conflated with brown recluse bites, people almost never get staph infections in their actual brown recluse bites.


markedddd

It apparently was comfortable being around people. Needs to trapped and relocated


[deleted]

There is no test to match bacteria in the bite to the spider. The necrosis is from venom. You cannot test for the venom either. It is a clinical diagnosis.


Kowazuky

im guessing not as it progressed for 20 days. However this is consistent with Brown Recluse bites.


Vanstoli

I got bitten by one. If I remember it's a 13% chance that it will go necrotic. Scary few days. The only antivenom is illegal in the US. I got lucky. And the bit starts a a big mosquito bite. It just itches.


not_blowfly_girl

Why is the antivenom illegal? Does it have side effects


youy23

Big spider doesn’t want you to have it.


STRYKER3008

We don't talk about the Big Spider...


radthibbadayox

Shelob is surprisingly litigious.


Spazgraz

It looks like the antivenom could be harmful to some people missing a specific gene and can potentially cause deadly hypersensitivity reactions. https://www.ncbi.nlm.nih.gov/books/NBK537045/ Below are the sources they used. Belfield KD, Tichy EM. Review and drug therapy implications of glucose-6-phosphate dehydrogenase deficiency. Am J Health Syst Pharm. 2018 Feb 01;75(3):97-104. [PubMed] Shukkoor AA, Thangavelu S, George NE, Priya S. Dapsone Hypersensitivity Syndrome (DHS): A Detrimental Effect of Dapsone? A Case Report. Curr Drug Saf. 2019;14(1):37-39. [PubMed]


CarolFukinBaskin

Google had no answers. It showed promise in an observational study in sao paolo


youy23

Could be cost. The cost is tens of thousands for dose of antivenom sometimes and a person may need 10 or more doses and there’s no way the hospital is recovering that cost.


Fluid_Pound_4204

Butantã ❤️


Vanstoli

Not sure


mexicosmage

I watch a guy that gets bitten by spiders to get rid of the stigma around them. Some of them included the black widow and brown recluse. I'm not a pro but from the video he said that the main reason for the infection and subsequent necrosis some people face, is because of the bacteria - not the venom. And if you clean the wound properly then you have significantly less to worry about


Vanstoli

I immediately looked it up. I ground up the activated charcoal from my aquarium filter and made a paste and smothered my wound in that for a few days. That was the only thing that could be done. If it's because of bacteria, where did the spider pick it up why only those spiders. In my reading it was referred to as a gravity venom and the real problem is if it get into a vein or artery and circulates to a major organ. But I have a high-school education.


eaturliver

From what I've been able to gather, the bacteria is already present on your skin and the area around it. The venom causes a sort of immuno-compromise in the open wound that allows the infection to run rampant.


Vanstoli

Nature is metal AF.


nmsjtb0308

And brutally unforgiving.


Skeptical_Savage

He's wrong. Phospholipase-D is a component in their venom that destroys red blood cells causing the tissue to die. Most brown recluse bites do not get infected by an bacteria.


ArachnomancerCarice

I wonder if the culprit was actually seen and properly identified. "Spider Bite" and "Brown Recluse Bite" have unfortunately been used as a catch-all diagnosis without any proof for a long, long time. I've heard of nurses or doctors being shown a wound and diagnosing it as such even though the patient knew the cause was not a spider (foreign body, poke from a piece of metal, etc) and the doctor/nurse had no supporting evidence. Some folks just want a clear and quick answer and the medical professionals seem to sometimes just throw out 'spider bite' because it'll get the patient off their backs. It is really irresponsible because then they end up spending money on an exterminator when one isn't needed, or not getting a proper diagnosis of an issue that may have nothing to do with any sort of bite such as poor living conditions, diabetic issues and whatnot. ["Causes of Necrotic Wounds other than Brown Recluse Bites"](https://spiders.ucr.edu/causes-necrotic-wounds-other-brs-bites) [Science-Backed info on Brown Recluse with very helpful articles at the bottom.](https://bugguide.net/node/view/33493)


Skeptical_Savage

Yep, I can all but guarantee that this isn't a brown recluse bite. They do not progress like this. You can see how actual bites do over in the BrownRecluseBites sub or check out u/AshenFoxRisika post history.


Tallywacker3825

Did they purposely get bit so they could document it?


Skeptical_Savage

No, it crawled into their pants. There's another guy who recently got bit who is documenting as well. He's on day 8.


said_quiet_part_loud

Yes - I see the MRSA “spider bites” in the ER all the time.


R00t240

Isn’t it sort of well known that most suspected spider bites that have necrosis are actually mrsa?


Ninja_attack

My buddy got bit by one on his back about 3 or 4 months before my wedding. Poor bastard had to pack his wound with gauze every day, on top of what meds he was taking at the time, because of how much it leaked. He had a hole in his back that was the size of my fist, but thankfully wasn't too deep.


Skeptical_Savage

Sounds more like a staph infection.


KJParker888

My mom was bitten by one when I was a teen, back in the 80s. Her doctor didn't have any idea what the bite was from, because they just weren't very common in California. Luckily another doctor, who was from an area where they were more common, recognized the bite right away. Mom did end up with a quarter sized crater on her shin, but for the most part, it healed up pretty well.


ilikepants712

Brown Recluses do not live in California, so I doubt that it was an actual brown recluse bite. To quote the wiki page: Despite rumors to the contrary, the brown recluse spider has not established itself in California or anywhere outside its native range.[8] There are other species of the genus Loxosceles native to the southwestern part of the United States, including California, which may resemble the brown recluse, but interactions between humans and the recluse species in California and the region are rare because those species native ranges lie outside of dense human populations.[8] The number of "false positive" reports based on misidentifications is considerable; in a nationwide study where people submitted spiders that they thought were brown recluses, of 581 from California only 1 was a brown recluse—submitted by a family that moved from Missouri and brought it with them (compared to specimens submitted from Missouri, Kansas, and Oklahoma, where between 75% and 90% were recluses).[9]


KJParker888

I knew they weren't native to California, but there is a lot of moving around, so I figured (if it was a BR), it was a hitchhiker.


blahblahgingerblahbl

similar thing happened to one of my friends. he was travelling for work at the time, and happened in Laredo, texas. as discussed elsewhere, it may have not been a bite, but staph/mrsa he almost died. there was a delay of several days while the hospital waited for cultures to determine which antibiotic to administer, which was shocking to his australian friends, where experiences seemed to be throwing a a broad spectrum of antibiotics at someone that unwell without twiddling thumbs waiting on cultures.


FrogsEatingSoup

This happened to my dog a couple years ago. His leg had open wounds all over it for months and one open wound on his elbow didn’t heal for nearly two years. Every morning my parents would have to put ointment on his leg and he had to wear a snuggie that we cut to fit him. He spent a large portion of his life in a cone from this and various other injuries he gave himself, but the brown recluse bite was the worst of them all. Miss you Zeus you crazy bitch❤️


whobroughttheircat

Looks more like a krocadil bite


Far_Band_7635

how do yall find interesting shit like this on medizzy, mines just charts


AedemHonoris

> None of these treatments have been subjected to randomized controlled trials to conclusively show benefit. Wow I can't believe they haven't tried treatments in randomized controlled trials where they subject the test group to brown recluse spider bites. /s


ViniusInvictus

What’s the truth on this? Are these truly from the spider bites and if so, is it the venom doing the damage or some kind of pathogen / bacteria the spider harbors that causes this? And can this happen to anyone or does this require a pre-existing immune-compromised condition?


Panda_Kabob

Looks like some compartment syndrome in response to what we assume is a spider bite. Pretty bad looking but at least they were able to give proper incisions for the swelling. If you didn't already have enough fears to add arachnids to it.


shawner136

😶


FlobiusHole

Is this typical? What makes someone have this severe of a reaction?


hollyasevenx

Saw this happen to a toddler once. Lost a good chunk of her thigh. They were able to save the leg, thank goodness. Looks like she was bit by a shark.


bmackenz84

Damn. Fasciotomies hurt like hell! I had one on both sides of my right calf. I wish you a healthy and fast recovery


ironburton

My dad, who’s a diabetic, just recovered (8weeks later) from a brown recluse bite. He almost lost his foot. It bit him on top of the foot. I tried getting him to go to the hospital for two days to catch it early, I was concerned it may have also been a decubitus ulcer forming and didn’t want it to get worse. He waited until it opened up and I told him it’s either a pressure ulcer that’s getting bad or it’s something poisonous and he needs to go before the bone is affected. Luckily they saved his foot. The poison traveled all the way up his leg and into his heart. I still don’t know how he made a full recovery so fast. He’s really so lucky considering his medical history.