Brown recluse spider

• Alternative Names

  Loxosceles reclusa

• Poisonous Ingredient

  Brown recluse spider venom

• Where Found

  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 been found in several large cities outside this range.

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

• Symptoms

  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. Children may have more serious reactions.

  Symptoms may include:

  • Chills
  • Itching
  • General ill-feeling or discomfort
  • Fever
  • Nausea
  • Reddish or purplish color in a circle around bite
  • Sweating
  • Ulcer in the area of the bite

  In rare cases:

  • Coma
  • Blood in urine
  • Jaundice
  • Kidney failure
  • Seizures
• Home Treatment

  Seek immediate emergency medical treatment and call 911 or the local emergency aid number, or Poison Control. Wash the area with soap and water. Wrap ice in a washcloth or similar material and place it on the bite area. Leave it on for 10 minutes and then off for 10 minutes. Repeat this process. Reduce ice contact time for individuals who have circulatory problems.

• Before Calling Emergency

  Before calling emergency, determine the following:

  • Patient's age, weight, and condition
  • The body part affected
  • The time the bite occurred
  • The type of spider

  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, or a local emergency number

  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

  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.

• Expectations (prognosis)

  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

  Peterson ME. Brown spider envenomation. Clin Tech Small Anim Practice. 2006;21(4):191-193.

Review Date: 10/5/2009

Reviewed By: Clark RF, Schneir AB. Arthropod bites and stings. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 194.