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We read your article with interest, as we ourselves have come across a
presented to us having been bitten on the thumb by another lethal breed,
"funnel web" spider.
The incident occurred in New Zealand, when the patient put his hand into a
bag of shop bought onions, where the spider was hidden. He was bitten to
thumb and presented to hospital following his return to
England. His injury was initially treated with two incision and drainages
separate occasions due to initial appearances of infection.
Following this, his thumb tip became necrotic and he was referred for
plastic surgery opinion. It was noted that he has osteo-cutaneous necrosis
extending to the mid-terminal phalanx. He eventually underwent a Moberg
reconstruction of this defect and has since returned to work.
We agree that clinicians from wide ranging specialties need to be aware of
the spectrum and consequences which these injuries may bring, especially
light of increased travel and the growing pet trade.