Randy Jacobs, M.D. Patient Education
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													Spider Bites
Brown Recluse, Black
              Widow, and Tarantula
                  
            
            
BROWN RECLUSE SPIDER
              
Many
              different kinds of spiders live around homes and buildings. The vast majority are harmless, and in fact are beneficial, because
              they prey upon flies, crickets and other insects. One spider in the USA which
              is potentially dangerous is the brown recluse. The BROWN RECLUSE is more of a
              tan than the image shows, with a violin- shaped black mark on the front section
              of its body. The female's body is about 1/2 inch long and her legs about
              another 1 inch long, so she will be about a 2 1/2 inch spread. The male is
              smaller. Some people are hardly bothered by the bite, but others may suffer a
              severe rotting of flesh in the area of the sting and the rotting is difficult
              to stop. The sore starts out as a painful little pimple and has been known to
              become quite large over a long period of time and the poison can also cause
              kidney failure, so be sure to get medical help immediately. The RECLUSE is not
              really a recluse because where there is one, there may be more. They hide out
              in old wooden buildings, in stored clothing, in dresser drawers, in attics and
              in shoes. Scorpions do too, so it might be a good idea to always check out your
              shoes before putting your feet in them! Fortunately,
              this spider is relatively uncommon, and has markings that the lay person can
              use to distinguish it from other non-threatening species.
              
 Description
              and Habits
              
              
              
              
              The brown recluse is about 1/4 to
                1/2 inches in body length (most adults are about the size of a United States
                dime to a US quarter with legs extended). Coloration ranges from tan to dark
                brown, with the abdomen often darker than the rest of the body. The feature
                that most distinguishes the brown recluse from many other harmless spiders is a
                somewhat darker violin-shaped marking on top of the leg-bearing section of the
                body. The neck of the violin "silhouette" points towards the rear
                (abdomen) of the spider. Brown recluse spiders also have 3 pairs of eyes
                (arranged in 3 groups of two) rather than 4 pairs for most other spiders. This
                diagnostic feature requires use of at least a 10X hand lens. The brown recluse
                roams at night seeking its prey. During the day, it hides in dark niches and
                corners, where it may spin a poorly organized, irregular web. Eggs are
                deposited in 1/2 inch long off-white silken egg sacs, often appearing flattened
                beneath and convex above. It is shy and will try to run from a threatening
                situation but will bite if cornered. People are sometimes bitten while they are
                asleep because they roll onto a brown recluse spider while it is hunting in the
                bed. More often the victim is bitten while putting on a shoe or piece of
                clothing which a spider has selected for its daytime hiding place.
                
              
 Medical Significance
              
              
              
              
              The bite of the brown recluse is
                usually painless until 3 to 8 hours later when it may become red, swollen, and
                tender. Later the area around the bite site may develop into an ulcerous sore
                from 1/2 to 10 inches in diameter. Healing often requires a month or longer,
                and the victim may be left with a deep scar. Prompt medical attention can
                reduce the extent of ulceration and alleviate other complications that may
                develop. It should be noted that not all brown recluse bites result in
                ulcerations or scarring. Spider bites are difficult to diagnose, even by
                physicians. Anyone bitten by a spider which is believed to be a brown recluse
                should try to collect the specimen and bring it to a qualified individual for
                identification. Positive identification by an expert will help the physician
                decide on the appropriate course of treatment.
                
              
Control
              
Eliminating
              an infestation of brown recluse spiders involves two basic principles: First,
              involves altering the environment in and around a building to make it less
              attractive to spiders. Second involves finding and destroying as many spiders
              as possible. The following measures can be used to control all spiders,
              including the brown recluse. 1. Routine, thorough house cleaning is the best
              way to eliminate spiders and discourage their return. A vacuum cleaner or broom
              effectively removes spiders, webs, and egg sacs. 2. Spiders prefer quiet,
              undisturbed areas such as closets, garages, basements, and attics. Reducing
              clutter in these areas makes them less attractive to spiders. 3. Large numbers
              of spiders often congregate outdoors around the perimeter of structures.
              Migration indoors can be reduced by moving firewood, building materials, and
              debris away from the foundation. Shrubs, vines and tree limbs should be clipped
              back from the side of the building. 4. Install tight-fitting window screens and
              door sweeps to exclude spiders and other insects. Inspect and clean behind
              outdoor window shutters. 5. Consider installing yellow or sodium vapor light
              bulbs at outside entrances. These lights are less attractive than mercury
              vapor, fluorescent, or incandescent bulbs to night-flying insects which, in
              turn, attract spiders. 6. To further reduce spider entry from outdoors,
              insecticides can be applied as a "barrier treatment" around the base
              of the foundation. Pay particular attention to door thresholds, garage and
              crawl space entrances, including foundation vents. Sevin (carbaryl), Ficam (bendiocarb), Dursban (chlorpyrifos), or any of the synthetic pyrethroids are effective, but may need to be reapplied periodically throughout the summer. Wettable powder or microencapsulated,
              "slow-release" formulations are most effective. Longer-lasting liquid
              formulations of Dursban can be purchased by
              homeowners through some lawn and garden shops. The brown recluse may be found
              living indoors or outdoors. Thorough inspection of cracks, corners, and other
              dark, undisturbed areas with a bright flashlight will help determine the
              location and extent of infestation. Indoors, pay particular attention to
              basements, attics, crawl spaces, closets, under/behind beds and furniture,
              inside shoes, boxes of stored items, and between hanging clothing. Brown
              recluse spiders also may be found living above suspended ceilings, behind
              baseboards, and inside ductwork or registers. Another way to detect infestations
              in these areas is to install glueboards or sticky
              traps. These devices, designed to capture mice and cockroaches, can be
              purchased at grocery or farm supply stores. Placed flush along walls and in
              corners, glueboards and sticky traps are useful monitoring
              tools and will also capture large numbers of spiders. Brown recluse spiders
              also live outdoors in barns, utility sheds, woodpiles, and underneath lumber,
              rocks, and accumulated debris. To avoid being bitten, wear work gloves when
              inspecting inside boxes or when moving stored items. Removal of unnecessary
              clutter is especially helpful in making areas unattractive to these pests.
              Indoor infestations of brown recluse spiders also warrant treatment with
              insecticides. Insecticides should be applied into areas where spiders are
              living, making an attempt to contact as many spiders and webs as possible with
              the treatment. Spot treatment with synthetic pyrethroids such as Tempo (cyfluthrin)
                or Demon (cypermethrin) are especially
              effective. Most household insecticides with spiders listed on the label (e.g.
              Raid Max) will also kill spiders provided the spider is treated directly. In
              inaccessible or cluttered areas such as attics and storage sheds, total-release
              foggers or aerosols containing resmethrin or synergized pyrethrins will have a better chance of contacting
              spiders that are hidden. Severe infestations of brown recluse spiders require
              specialized skills, persistence and equipment to eradicate. In these
              situations, it would be prudent to call a professional pest control operator.
              
                    
                    
                    
                    
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Black Widow 
              
The
              BLACK WIDOW female is known for its red hourglass-shaped design on the bottom
              of its black tummy shown here, about 1/2 inch body and long legs. The body is
              like a shiny patten-leather ..I
              guess one would call it an exoskeleton.(?) The male is
              smaller and usually doesn't bite. There seems to be no localized symptoms when
              bitten, but the venom is a neurotoxin and affects the nerve functions
              throughout the body . Since there is little symptoms at the bite location, it is sometimes difficult to diagnose the
              nerve symptoms if you don't actually see the spider. There can be pain one to
              eight hours after the bite, heavy sweating, nausea and stomach cramps. A muscle
              relaxant is standard emergency room treatment. The black widow likes to hide
              under sticks and rocks or logs, and the seats in old outdoor toilets. She
              really is a widow, as when she mates with her male, she kills him and consumes
              his fluids. So... She becomes a widow and usually
              alone. Most black widows occur outdoors and are not aggressive unless confined
              or disturbed. Females are more likely to bite when guarding an egg sac. Reports
              indicate that mortality from bites is the result of 1% or less of the cases,
              usually occurring in very young or very old individuals. With healthy people,
              recovery is usually complete in 2-5 days. However, this spider is considered
              the most venomous spider in North America. Adult black widow spiders have
              shiny, jet black, rounded, globular abdomens with 2 reddish or yellowish triangles
              on the underside that form a characteristic hourglass marking. Adult female
              northern widow spiders are shiny black or brown-black with 2 reddish triangles
              on the underside, resembling a split hourglass. These spiders are about 1/2
              inch long, not including the legs (about 1-1/2 inches when legs are spread).
              Adult males are harmless, about half the female's size, with smaller bodies,
              longer legs and usually have yellow and red bands and spots over the back as do
              the immature stages. Newly hatched spiderlings are
              predominately white or yellowish-white, gradually acquiring more black and
              varying amounts of red and white with each molt. Juveniles of both sexes
              resemble the male and are harmless.
              
                    
                    
                    
                    
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Tarantula
              
Over
              the past few years, tarantulas have become acceptable pets now widely sold,
              traded and kept in houses, apartments, schools and dormitories. Occasionally,
              these very large, hairy spiders escape within a dwelling causing alarm and
              panic among those fearing spiders. Actually, most tarantulas are docile, non-aggressive
              and rarely bite. Bites are not considered dangerous and cause little lasting
              pain. Bites are no more painful than a bee sting, and its symptoms should be
              treated similarly. Some have a dense covering of special hairs on the abdomen,
              which, when dislodged, cause skin irritation. This irritation is mechanical
              rather than chemical in nature. The name tarantula has unfortunately become
              associated with several spider families, but most often is applied to the ones
              called the hairy mygalmorphs. Tarantulas have been
              much publicized in horror shows in movie houses and television shows due to
              their forbidding hairy appearance. The largest tarantulas are tropical with a
              body length of 3-1/2 inches and a leg span of 9-1/2 inches. The largest United
              States' species has a body length of 2 inches and leg span of about 6 inches.
              These spiders are stout-bodied and covered with hollow, needle-like barbed
              hairs, especially on the abdomen. When disturbed, the hind legs are used to
              scrape off and throw very fine (fiberglass-like) abdominal hairs in the
              direction of danger, resulting in a remaining bald spot. A bald spot may also
              occur on the abdomen prior to the shedding of the skin. Hairs may cause a skin
              rash, allergic reaction and possibly anaphylactic (severe and sometimes fatal)
              shock to certain individuals. A CDC report shows that in 1994, there were 9,418
              spider bites reported in the U.S. with 82 (0.9%) of them being attributed to
              tarantulas. Spider bites are not required to be reported by law and these
              numbers are from people calling poison control centers for advice, so the
              actual number may be higher. While there is little or no documented medical
              evidence regarding the medical significance of tarantula bites, all tarantulas
              are venomous and their bite can cause local and systemic reactions. If you plan
              on keeping and especially handling tarantulas you should be familiar with some
              basic first aid procedures in the unlikely event of a bite. Reactions to venom
              will vary from person to person and are affected by a number of factors
              including the amount of venom injected, the size and general health of the
              victim, and the toxicity of the venom. It is estimated that 5% of people will
              have an allergic reaction to (any) venom and of that group a small percentage
              will develop anaphylactic shock. Localized Reactions: Following a tarantula
              bite expect, at the very least, to see some local reactions: Localized pain,
              Redness, Swelling, and Skin wheal at the bite site. Immediate treatment should
              be to wash the area with soap and water and apply cool compresses to the site.
              A paste made from baking soda and water and applied to the site may help
              decrease the severity of the local reaction. Topical cortisone or Benadryl
              creams may also alleviate some of the irritation. You should also observe for
              signs of an allergic and/or anaphylactic reaction. If you haven't had a tetanus
              shot in the past 5 years, contact your primary care doctor to decide whether
              you should receive an update. If you haven't had a tetanus in the past 10 years, now is a good time to get one. Suctioning style snake
              bite kits are considered ineffective at withdrawing venom from a site and under
              no circumstances should you attempt to suck venom out with your mouth. Over the
              next week or so be sure to keep the area clean and apply an antibiotic ointment
              such as Bacitracin, Neosporin or Polysporin and watch
              for infection. Common Signs of Infection The site becomes red and warm to the
              touch. Red streaks appear near the site. Pain or yellowish discharge comes from
              the site. Fever, chills, body aches. Bumps in the armpits or
                groin. Allergic Reactions: Allergic reactions and anaphylactic shock are
              primarily caused by the release of immunoglobulin E (IgE).
              This antibody mediates the body's allergic response by attaching to the body's
              mast cells, which stimulates the release of histamine and heparin. Histamine
              has many effects on the body including bronchoconstriction, vasodilation and
              increased gastric motility. While uncomfortable, these reactions serve to
              accelerate the deactivation and elimination of the allergen. The signs and
              symptoms of an allergic reaction include: Headache is a common complaint as are
              anxiety and restlessness. A rash or urticaria (hives)
              along with a warm or itchy feeling caused by dilation and increased
              permeability of the capillaries. Sneezing, coughing and/or wheezing are early
              signs that can potentially progress to neck and throat tightness. The
              gastrointestinal system responds aggressively to the release of histamine.
              Nausea, vomiting, diarrhea and abdominal cramps are all attempts by the body to
              rid itself of the offending toxin. Wash the bite with soap and water, and apply
              cool compresses. Minor reactions generally respond well to over-the-counter
              antihistamines such as diphenhydramine (Benadryl) and will usually resolve
              anywhere from a couple of days to more than a week. If you experience any chest
              tightness, difficulty breathing or a lot of hives, you should be evaluated by a
              physician. The physician may opt to give epinephrine 1:1000 which decreases the
              capillary permeability and opens the airways. Steroids may also be prescribed
              for long term maintenance. Steroids decrease inflammation by suppressing the
              body's immune response. If you have an allergic reaction, there is roughly a
              60% chance of a similar or worse reaction if bitten again. Anaphylactic Shock:
              Anaphylaxis can best be described as a runaway allergic reaction. In an
              anaphylactic reaction the person's airway can be rapidly obstructed by
              swelling, the blood pressure can drop sharply and convulsions or cardiac arrest
              may ensue. This is a true medical emergency and the person must be transported
              to a hospital immediately, preferably by ambulance. DIAL 9-1-1, or the number used to activate your local emergency medical service. Treat the
              local reaction as discussed above. Keep the affected extremity lower than the
              level of the heart. You might also apply a constricting band between the bite
              and the person's heart. This should only be a bit tighter than a watch band to
              decrease the flow of lymph. Do not apply an arterial tourniquet! Persons
              predisposed to anaphylaxis may be wearing a medic alert bracelet or necklace
              and may carry a kit containing epinephrine 1:1000. The person and family
              members should be trained in the indications for and use of the kit. If someone
              is allergic to bee and wasp stings it's a safe bet that they will also have an
              adverse reaction from tarantula venom.
              
				
			