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Brown recluse spider

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Contents of this page:

Illustrations

Arthropods, basic features
Arthropods, basic features
Arachnids, basic features
Arachnids, basic features
Brown recluse spider bite on the hand
Brown recluse spider bite on the hand

Alternative Names    Return to top

Loxosceles reclusa

Definition    Return to top

The brown recluse spider's bite is poisonous. The scientific name for the brown recluse is Loxosceles reclusa.

Poisonous Ingredient    Return to top

Brown recluse spider venom

Where Found    Return to top

The brown recluse spider is most common in the South and Central states of the United States, especially in Missouri, Kansas, Arkansas, Louisiana, eastern Texas, and Oklahoma. However, the spider has be found in several large cities outside this range.

The brown recluse spider prefers dark, sheltered areas such as under porches and in woodpiles.

Symptoms    Return to top

When the spider bites you, you may feel a sharp sting or nothing at all. Pain usually develops within the first several hours after being bitten, and may become severe.

Symptoms may include:

In rare cases:

Home Care    Return to top

Apply a cold pack, then seek immediate medical attention.

Before Calling Emergency    Return to top

Before calling emergency, determine the following:

The patient should be taken to the emergency room for treatment. The bite may not appear to be serious, but it can take some time to become severe. Treatment is important to reduce complications. If possible, place the spider in a secure container and bring it to the emergency room for identification.

Poison Control    Return to top

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning, including insect bites. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

See: Poison control center - emergency number

What to Expect at the Emergency Room    Return to top

The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure.

Symptoms will be treated as appropriate. Because brown recluse spider bites can be painful, pain medicines may be given. Antibiotics may also be prescribed if the wound is infected.

If the wound is near a joint (such as a knee or elbow), the arm or leg may be placed into a brace or sling. If possible, the arm or leg will be elevated.

The brown recluse spider bite can leave a large crater and ugly scarring. It is possible that surgery may be needed weeks later to improve the appearance of the scar.

Outlook (Prognosis)    Return to top

Deaths from brown recluse spider bites are more common in children. With proper medical attention, survival past 48 hours is usually a sign that recovery will follow. An ulcer may take up to 6 weeks to heal, with proper care.

References    Return to top

Peterson ME. Brown Spider Envenomation. Clin Tech Small Anim Practice. 2006 Nov; 21 (4): 190-3.

Update Date: 5/20/2008

Updated by: Stephen C Acosta, MD, Department of Emergency Medicine, Portland VA Medical Center, Portland, OR. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2008, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.