Suggest Treatment For Severe Pain After Suffering Recluse Spider Bite

Posted on Sat, 19 Sep 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 19 Sep 2015 Answered on

Mon, 12 Oct 2015 Last reviewed on

Question : I have a healing Recluse bite. Area is almost healed. Today I am having severe pain. 6 of 10. I have completed the Antibiotics. My husband has been doing daily dressing changes. I have taken 600 mg IBU this morning.

Answered by Dr. Tushar Kanti Biswas (9 hours later)

Brief Answer:
Cellulitis leg ollowing Recluse spider bite

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

You have developed spreading cellulitis following Recluse spider bite,with edema and erythema due to secondary bacterial infection [most often with
bacteria such as methicillin-resistant Staphylococcus aureus (MRSA].-causing return of pain.
You should switch over to Linezolid group of antibiotic oral in standard dose in addition to cloxacillin oral . Are you diabetic also ? If diabetic strict glycemic control is needed. Even then you should re-check your blood sugar fasting and post-postprandial to remain sure.
Also do a complete blood count and if there is any discharge send for culture & sensitivity test for further guidance.
Hopefully you have already taken tetanus prophylaxis.
For pain,you can take analgesic like ibuprofen with PPI (proton pump inhibitor e.g. pantoprazole).
.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Sonia Raina