Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor
In Reply: We agree with Dr Suchard that necrotic
arachnidism in an infant in Manhattan is unlikely. However, we could not rule
out this possibility. Although Loxesceles spiders
are most concentrated in the south central United States, Loxesceles species have been sporadically identified in virtually every
state in the continental United States, probably transported in belongings.1,2 In this case, the family's automobile
had recently been driven to regions inhabited by Loxosceles species and we postulated that a spider might have hidden within the
infant's stroller or the family's belongings.
Borkowsky W, Chang MW. Diagnosis and Treatment of Cutaneous Anthrax—Reply. JAMA. 2002;288(1):43–44. doi:10.1001/jama.288.1.42
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