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Envenomations by Widow, Recluse, and Medically Implicated Spiders

  • Richard S. Vetter
  • William V. Stoecker
  • Richard C. Dart
Reference work entry
Part of the Toxinology book series (TOXI)

Abstract

Although there are many spider species throughout the world, most of which have venom, only about 60 are toxic enough to cause deleterious reactions in humans. In North America, only the widow and recluse groups are considered to be medically important. Widow envenomations are readily managed due to easily recognizable signs and symptoms; the pathophysiology of the venom effects is well known. Widow antivenom has been effective in reversing envenomation symptoms within a short period of time. In contrast, recluse envenomations are not as easily recognized and remedied due to a wide range of manifestation of venom effects and a still-developing understanding of the pathophysiology. Recluse antivenom is available in South America where envenomation manifestation appears more deleterious but not in North America where bites are less common and less dramatic. Adding difficulty in the recluse diagnostic process is the obfuscation due to a large number of non-spider-related dermonecrotic lesions that physicians too often misdiagnose as recluse spider bites, muddling the medical literature and preventing proper treatment. The overreliance by the medical community on spiders as causes of maladies has led to several other virtually harmless spider species around the world to be falsely incriminated in medical events.

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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  • Richard S. Vetter
    • 1
  • William V. Stoecker
    • 2
    • 3
  • Richard C. Dart
    • 4
    • 5
  1. 1.Department of EntomologyUniversity of CaliforniaRiversideUSA
  2. 2.Department of DermatologyUniversity of Missouri Health CenterColumbiaUSA
  3. 3.SpidertekRollaUSA
  4. 4.Denver Health and Hospital AuthorityRocky Mountain Poison and Drug CenterDenverUSA
  5. 5.Emergency MedicineUniversity of Colorado School of MedicineAuroraUSA

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