A 32-year-old man presents 3 to 4 hours after a spider bite in rural Kansas. He states that he saw the spider (see Figure 1) but did not have any initial sensation of the bite.
Figure 1.
The area where the bite occurred now has a stinging sensation and there is some evidence of developing blisters (see Figure 2).
Figure 2.
Which of the following is the most appropriate therapy for this patient?
- wound care, immobilization, tetanus prophylaxis, analgesics, and antipyretics
- administration of dapsone 100 mg twice daily for 2 weeks
- early excision or intralesional injection of corticosteroids
- hyperbaric oxygen therapy
This question appears in Med-Challenger Emergency Medicine Review with CME
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