{
  "abstract": "A female in her 30s from Missouri with no significant past medical history presented to the emergency department with worsening fatigue, haematuria and back pain following a brown recluse spider bite. On admission, laboratory findings were significant for anaemia, leukocytosis, hyperbilirubinaemia, elevated lactate dehydrogenase, low haptoglobin and a positive direct antiglobulin test. The working diagnosis was autoimmune haemolytic anaemia secondary to a brown recluse spider bite; a rare but serious haematologic complication associated with brown recluse spider bites. The patient required multiple red blood cell transfusions, high-dose corticosteroids and antibiotic therapy. Her condition improved with pharmacologic treatment, and she was discharged home with outpatient haematology follow-up. This case highlights the potential for systemic haemolysis in the setting of brown recluse spider bites and underscores the importance of early recognition and comprehensive management.",
  "authors": [
    {
      "affiliations": [
        "Ponce Health Sciences University - St Louis Campus, St. Louis, Missouri, USA"
      ],
      "name": "Shruti Rai"
    },
    {
      "affiliations": [
        "Internal Medicine, Mercy Hospital St Louis Area, St. Louis, Missouri, USA"
      ],
      "name": "Charles Alan Hurth"
    },
    {
      "affiliations": [
        "Mercy Hospital St Louis Area, St. Louis, Missouri, USA"
      ],
      "name": "Connor Scott Shaw"
    }
  ],
  "title": "Autoimmune haemolytic anaemia secondary to a brown recluse spider bite",
  "uid": "ca6fde3b-adfd-5403-a337-07f2af72efd8"
}