Most spider species in Malaysia are considered harmless and spider bites are rarely reported. This is partly due to the mild effects from the bite and victims do not seek medical treatment in the hospital. To date, there are few well-documented cases of medically significant bites from indigenous spider species in Malaysia. Here, we report the presentation, clinical management and outcome of two patients following a bite by the yet to be described ‘Black & Gold’ Huntsman spider from the genus Thelcticopis in Malaysia. The first case involved a 42-year-old man who was bitten on the tip of the distal phalanx of his right middle finger and presented with severe pain and local swelling. He was treated symptomatically and was discharged well. The second case involved a 57-year-old woman, who was bitten on the proximal phalanx of her right little finger and presented with severe throbbing pain and progressive swelling. She was treated symptomatically and was discharged after 24 hours observation in the medical ward. However, she noted moderate neck and generalized joints pains especially affecting the hips and knees, one day prior to discharge. She was treated with oral analgesia and symptoms resolved within two days.
A Huntsman’s Bite: Envenoming from the Malaysian ‘Black & Gold’, Thelcticopis sp. Spider (Arachnida: Araneae: Sparassidae: Sparianthinae)
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Abstrak
Kebanyakan spesies labah-labah di Malaysia dianggap tidak berbahaya kepada manusia dan kes gigitan labah-labah jarang dilaporkan. Ini adalah disebabkan oleh kesan dari gigitan yang tidak serius dan mangsa tidak mendapatkan rawatan di hospital. Sehingga kini, hanya terdapat beberapa kes gigitan labah-labah yang didokumentasikan dari Malaysia. Di sini, kami melaporkan gejala gigitan, kaedah perawatan dan hasil perawatan dua pesakit yang digigit labah-labah pemburu ‘Hitam & Emas’ dari genus Thelcticopis di Malaysia yang masih belum dinamakan spesisnya. Kes pertama melibatkan seorang lelaki berusia 42 tahun yang telah digigit di hujung jari tengahnya, menyebabkan kesakitan dan bengkak setempat. Beliau dirawat secara simtomatik dan pulih tanpa sebarang komplikasi. Kes kedua melibatkan seorang wanita berusia 57 tahun, yang telah digigit pada jari kelingking, menyebabkan kesakitan berdenyut dan kebengkakan progresif. Dia dirawat secara simtomatik dan dibenarkan pulang selepas 24 jam di wad perubatan. Walau bagaimanapun, beliau mendapat sakit di leher dan sendi terutamanya pinggul dan lutut. Beliau telah dirawat dengan ubat tahan sakit dan semua gejala sembuh dalam tempoh dua hari.
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