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To the Editor:
—The treatment of spider bites with medicine has proved so extremely unsatisfactory in my experience that I have tried excising a small piece of tissue in three cases during this year and in all cases the results have proved satisfactory. Reasoning that the tissue would slough and that excising is the best treatment in carbuncle or in any condition of sloughing, I thought that excision would prove best in cases of spider bites and so it has. The part can be rendered painless by injecting 1/10 of 1 per cent, solution of cocain or some local anesthetic and if this is done properly the wound gets well rapidly. The low resistance of fat makes it necessary to excise a larger piece than one would at first think necessary. It is best to go to the underlying muscle or else sloughing may occur at the bottom of the
Matlock JW. Excision as a Method of Treating Spider Bites. JAMA. 1911;LVII(10):838. doi:10.1001/jama.1911.04260090060030
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