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The medical importance of the brown recluse spider, Loxosceles reclusa Gertsch and Mulaik, is well known, but there is a need for more accurate information about the distribution of the spider in North America. We gathered information via an Internet offer to identify spiders in Illinois and Iowa that were thought to be brown recluses. We also mined brown recluse locality information from other agencies that kept such records. In Iowa, the brown recluse is unknown from its northern counties and rare in southern counties. In Illinois, brown recluse spiders are common in the southern portion of the state and dwindle to almost nonexistence in a transition to the northern counties. Although there were a few finds in the Chicago, IL area and its suburbs, these are surmised to be human-transported specimens and not part of naturally occurring populations. Considering the great human population density and paucity of brown recluses in the Chicago area, medical personnel therein should obtain patient geographic information and be conservative when diagnosing loxoscelism in comparison with southern Illinois, where the spiders are plentiful and bites are more likely.

Georgia is on the southeastern margin of the native range of the brown recluse spider, Loxosceles reclusa Gertsch and Mulaik. The brown recluse is not a common Georgia spider and has limited distribution in the state. Using recent submissions, previously published records, and examination of museum specimens, we document the spider's presence in 31 (19.5%) of Georgia's 159 counties, with almost all being found in the northern portion. The spider was collected almost exclusively north of the Fall Line (a transition zone separating the Piedmont and the Coastal Plain geological provinces). Only two locations in the southern Coastal Plain province produced L. reclusa specimens; these southern finds are considered spiders that were transported outside their range. There were six finds of the non-native world tramp species, L. rufescens (Dufour), three south of the Fall Line. In conspicuous contrast, over a 5-yr period, a Georgia poison center database recorded 963 reports of brown recluse spider bites from 103 counties. These figures greatly outnumber the historic verifications of brown recluses in the state for both specimen quantity and county occurrence, indicating improbable spider involvement and the overdiagnosis of bites. In the southern half of the state, medical diagnoses of brown recluse spider bites have virtually zero probability of being correct. Bite diagnoses should be made with caution in north Georgia given the spider's spotty distribution with low frequency of occurrence.

An Internet offer was made to identify any spider in the United States perceived to be a brown recluse spider, Loxosceles reclusa Gertsch & Mulaik (Sicariidae). In total, 1,773 arachnids from 49 states represented three orders (Araneae, Solifugae, and Opiliones) and the identifiable spiders (Araneae) consisted of 38 families, 88 genera, and 158 recognizable species. Participants from states at least half within the known brown recluse distribution submitted Loxosceles spiders 32–89% of the time, except Louisiana and Mississippi with no submissions. From 25 of 29 states completely or almost completely outside of the range of Loxosceles spiders, no recluse spiders were submitted. Only two discoveries of brown recluses and two of the worldwide tramp species Loxosceles rufescens (Dufour) were submitted from nonendemic Loxosceles areas. States on distribution margins of brown recluse or other native Loxosceles spiders were intermediate in their Loxosceles submissions. This study showed that 1) the general public perceives brown recluses to occur over wide-ranging areas of the United States; and 2) brown recluses are frequently submitted from endemic states and almost never from nonendemic states, and therefore are virtually limited to their known distributions. This study corroborates opinions that diagnosis of brown recluse spider bites is best restricted to areas historically supporting proven, widespread populations of Loxosceles spiders.

During a 6-mo period, 2,055 brown recluse spiders, Loxosceles reclusa Gertsch and Mulaik, were collected in a 19th-century-built, currently occupied home in Lenexa, KS. We conservatively estimate that at least 400 of these spiders were large enough to cause envenomation. Additional collections from more typically infested homes in Missouri and Oklahoma in 2001 yielded 45 and 30 brown recluse spiders, respectively. Despite these infestations, no envenomations of the inhabitants of these three homes occurred. Considering the levels of infestations with no bites in the homes presented here, nonendemic areas in the United States, which typically lack recluse spider populations and have had zero to few verified specimens of the spider, do not have sufficient numbers of brown recluse spiders to make envenomation a likely scenario. Despite this, physicians from nonendemic recluse areas often diagnose brown recluse bites which, therefore, are unlikely to be correct.