{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T02:06:37Z","timestamp":1773885997640,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,2,5]],"date-time":"2007-02-05T00:00:00Z","timestamp":1170633600000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the American Academy of Nurse Practitioners"],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Purpose: <\/jats:bold> The purpose of this article was to provide a comprehensive epidemiological and clinical description of the brown recluse spider bite.<\/jats:p><jats:p><jats:bold>Data sources: <\/jats:bold> Review of evidenced\u2010based scientific literature and practice guidelines. A specific descriptive case study is interwoven through the article to tie in the clinical presenting figure associated with this bite.<\/jats:p><jats:p><jats:bold>Conclusions: <\/jats:bold> The brown recluse lives in a circumscribed area of the United States (the south central Midwest) with a few less common recluse species living in the more sparsely populated southwest United States. In these areas, where spider populations may be dense, recluse spiders may be a cause of significant morbidity.<\/jats:p><jats:p><jats:bold>Implications for practice: <\/jats:bold> Most spider bites are asymptomatic but what makes this bite so devastating is the toxin injected by the brown recluse spider, which can cause considerable systemic symptoms as well as necrotic skin ulcers (necrotic arachnidism). The article presents process for diagnosis and stresses the importance of identifying the spider if at all possible.<\/jats:p>","DOI":"10.1111\/j.1745-7599.2006.00201.x","type":"journal-article","created":{"date-parts":[[2007,2,5]],"date-time":"2007-02-05T11:10:13Z","timestamp":1170673813000},"page":"79-85","source":"Crossref","is-referenced-by-count":16,"title":["Epidemiology of the brown recluse spider bite"],"prefix":"10.1111","volume":"19","author":[{"given":"Jacqueline","family":"Rhoads","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,2,5]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Arnold T. (2006).2005 Spider envenomations brown recluse. E\u2010medicine. Retrieved November 19 2006 fromhttp:\/\/www.emedicine.com\/EMERG\/topic547.htm"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1974.01350280212036"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70156-3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198802000-00009"},{"key":"e_1_2_10_6_1","first-page":"908","article-title":"Loxoscelism of the eyelids","volume":"99","author":"Edwards J. J.","year":"1980","journal-title":"Archives of Ophthalmology"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/jmedent\/16.1.18"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4362.1975.tb04283.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1996.tb03511.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199002000-00029"},{"issue":"4","key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.2340\/0001555571337340","article-title":"Morbidity of brown recluse spider bites. Clinical picture, treatment, and prognosis","volume":"71","author":"Ingber A.","year":"1991","journal-title":"Acta Dermato-Venereologica"},{"key":"e_1_2_10_12_1","unstructured":"Keim M. D. &Moorlehem E. (2006).Brown recluse spider bite. Retrieved July 19 2006 fromeMedicine.comhttp:\/\/www.medicineonline.com\/reference\/Health\/Dentistry\/info\/Brown\u2010Recluse\u2010Spider\u2010Bite\/"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.254.20.2895a"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(86)80474-1"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1997.tb03738.x"},{"issue":"4","key":"e_1_2_10_16_1","first-page":"198","article-title":"The management of snake and spider bites in the southeastern United States","volume":"53","author":"Pennell T. C.","year":"1987","journal-title":"American Surgeon"},{"key":"e_1_2_10_17_1","unstructured":"Potter M. (2006).Brown recluse spider. Lexington:University of Kentucky College of Agriculture Agricultural Science Center North. Retrieved July 2006 fromhttp:\/\/www.uky.edy\/Ag\/Entomology\/entfacts\/struct\/ef631.htm"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(87)80738-2"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1523-1747.ep12340340"},{"issue":"9","key":"e_1_2_10_20_1","first-page":"945","article-title":"Lyme disease misdiagnosed as a brown recluse spider bite [Letter]","volume":"16","author":"Rosenstein E. D.","year":"1987","journal-title":"Annals of Internal Medicine"},{"key":"e_1_2_10_21_1","unstructured":"Stibich A. &Schwartz R. (2006).Brown recluse spider bite. Emedicine. Retrieved July 2006 fromhttp:\/\/www.emedicine.com\/DERM\/topic598.htm"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-196610000-00021"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1603\/0022-2585(2005)042[0512:ASASBR]2.0.CO;2"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1086\/341244"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(72)80023-4"},{"key":"e_1_2_10_26_1","doi-asserted-by":"crossref","unstructured":"Wille R. C. &Morrow J. D. (1988).Case report: Dapsone hypersensitivity syndrome associated with treatment of the bite of a brown recluse spider.American Journal of the Medical Sciences 296(4) 270\u2013271.","DOI":"10.1016\/S0002-9629(15)40859-6"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8635(18)30499-6"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(97)70106-9"}],"container-title":["Journal of the American Academy of Nurse Practitioners"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1745-7599.2006.00201.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1745-7599.2006.00201.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T23:37:09Z","timestamp":1697067429000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1745-7599.2006.00201.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,2]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,2]]}},"alternative-id":["10.1111\/j.1745-7599.2006.00201.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1745-7599.2006.00201.x","archive":["Portico"],"relation":{},"ISSN":["1041-2972","1745-7599"],"issn-type":[{"value":"1041-2972","type":"print"},{"value":"1745-7599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,2]]}}}