{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:26:58Z","timestamp":1787754418007,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report the case of a previously healthy 51-year-old man who presented to our hospital after worsening clinical appearance of his left ring finger, despite antibiotics and previous surgical drainage for suspected abscess at an outside institution 3 weeks ago. He was admitted to our hospital for surgical debridement and decompression. After suspicion of cutaneous loxoscelism based on the clinical record and corticosteroid administration, the patient presented a favorable evolution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Cutaneous loxoscelism caused by a spider bite is present in Europe, mainly in the Mediterranean area, and should be considered in cases of skin infections which do not respond to antibiotics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00344","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T10:07:11Z","timestamp":1677146831000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Suspected Brown Recluse Spider Envenomation: Missed Diagnosis and Delayed Treatment of Loxoscelism"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0613-5243","authenticated-orcid":false,"given":"Eduardo","family":"G\u00f3mez-Mu\u00f1oz","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Cl\u00ednico San Carlos Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Jos\u00e9","family":"P\u00e9rez-\u00dabeda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Cl\u00ednico San Carlos Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2725-2016","authenticated-orcid":false,"given":"Daniel","family":"Garr\u00edguez-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Cl\u00ednico San Carlos Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5134-6966","authenticated-orcid":false,"given":"Marta","family":"Echevarr\u00eda-Mar\u00edn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Cl\u00ednico San Carlos Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Dolores","family":"Gimeno","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Cl\u00ednico San Carlos Hospital, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Marco","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Cl\u00ednico San Carlos Hospital, Madrid, Spain"},{"name":"Department of Surgery, Complutense University, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10]]},"reference":[{"issue":"9808","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"2039","DOI":"10.1016\/S0140-6736(10)62230-1","article-title":"Spider bite","volume":"378","author":"Isbister","year":"2011","journal-title":"Lancet."},{"issue":"7","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1056\/NEJMra041184","article-title":"Bites of brown recluse spiders and suspected necrotic arachnidism","volume":"352","author":"Swanson","year":"2005","journal-title":"New Engl J Med."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.toxicon.2018.10.304","article-title":"Probable cutaneous loxoscelism with mild systemic symptoms: a case report from 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