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A Case of Severe Brown Recluse Envenomation

The brown recluse spider, Loxosceles reclusa, is a spider known for the potential to cause serious wounds. The spider is found in North America primarily, often hiding in man-made structures. The poison contains a myriad of toxins including metalloproteinases, hyaluronidases, insecticidal peptides, deoxyribonucleases, and alkaline phosphatase. Most bites heal without issue; however, this post details the course of a bite causing significant morbidity.