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Previous Volume 346:945-946 March 21, 2002 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Like many other clinicians, we were disheartened by the report of the diagnosis of cutaneous anthrax in a seven-month-old child (Nov. 29 issue).¹ However, what we found most distressing about this and other cases was that the initial diagnosis was envenomation by the brown recluse spider, Loxosceles reclusa. Although envenomation by this spider produces a necrotic lesion that may be mistaken for cutaneous anthrax, there are some critical differences that can help to guide future evaluations.

Loxosceles spiders prefer warm temperatures, and they are not native to the northern half of the United States.² In fact, . . . [Full Text of this Article]

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