Case Presentation: Few spider bites are medically significant. A 24-year-old African American woman presented with malaise, fever, nausea, and myalgias. She reported a sharp pain on her lower back the night prior that at first felt like burning before progressing to pain. Her initial vitals were T 101, HR 120, BP 141/117. Physical exam revealed [...]

Case Presentation: A 17-year-old African American male with a past medical history of pulmonary embolism (PE) and morbid obesity presented to the hospital for right shoulder pain and dyspnea. On admission, his physical exam findings were most consistent with cellulitis, and he was started on IV vancomycin and PO clindamycin for MRSA and MSSA coverage [...]

Case Presentation: Although infrequent, systemic loxoscelism can occur following a brown recluse spider bite and result in dermal necrosis, hemolytic anemia, DIC and renal failure. We present a case of an eight year old male who developed Hemophagocytic Lympho-Histiocytosis (HLH) secondary to systemic loxoscelism. The patient presented with gross hematuria, abdominal pain, and fever. The [...]