Loxoscelism is a medical condition due to bites and envinemation by recluse spiders of the genus Loxosceles that may be the cause of polymorphus skin or visceral manifestations up to shock, coma, and death. General practitioners know very little about this condition, which is why it is important to highlight it in order to plan appropriate treatment and prevent complications.
Case report: This report is related to a 2-year-old infant female who is admitted to the emergency room with a large, red, and painful lower limb against a backdrop of fever due to the bite of a spider 48 hours before.
Conclusion: Cutaneous oxoscelism is a poorly diagnosed condition. As identification of the spider is not always possible, the diagnosis must then be made on the basis of epidemiological, clinical, and biological evidence after eliminating other causes in order to prescribe appropriate treatment.
Asymmetric crying facies in neonates is a rare condition that might be due to hypoplasia of the depressor anguli oris muscle and is characterized by asymmetry of lower lip depression during crying.
Case report: We report a full-term newborn delivered by cesarean section with an uneventful pregnancy among non-consanguineous parents. The newborns have an Apgar score of 9 and 10 at 1 and 5 minutes, respectively. His birth measurements were appropriate for his gestational age. His initial clinical examination was normal, apart from the presence of a red intersourciliary macule and an asymmetric face while crying, with the right lip corner disappearing at rest. In this clinical presentation, the diagnosis of asymmetric crying facies was retained.
Conclusion: Despite the fact that our patient has no other associated malformations, any facial paralysis that disappears at rest should be treated as a sign of asymmetric crying facies, and other malformations that may be associated should be screened for.
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