1. Black Widow vs. Brown Recluse Spiders Slideshow Pictures
2. Bad Bugs and Their Bites Slideshow Pictures
3. Bites and Infestations Image Gallery

Medical Author:

Jerry R. Balentine, DO, FACEP

Jerry R. Balentine, DO, FACEP

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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The black widow spider produces a protein venom that affects the victim's nervous system. This neurotoxic protein is one of the most potent venoms secreted by an animal. Some people are slightly affected by the venom, but others may have a severe response. The first symptom is acute pain at the site of the bite, although there may only be a minimal local reaction. Symptoms usually start within 20 minutes to one hour after the bite.

• Local pain may be followed by localized or generalized severe muscle cramps, abdominal pain, weakness, and tremor. Large muscle groups (such as shoulder or back) are often affected, resulting in considerable pain. In severe cases, nausea, vomiting, fainting, dizziness, chest pain, and respiratory difficulties may follow.
  
  
• The severity of the reaction depends on the age and physical condition of the person bitten. Children and the elderly are more seriously affected than young adults.
  
  
• In some cases, abdominal pain may mimic such conditions as appendicitis or gallbladder problems. Chest pain may be mistaken for a heart attack.
  
  
• Blood pressure and heart rate may be elevated. The elevation of blood pressure can lead to one of the most severe complications.
  
  
• People rarely die from a black widow's bite. Life-threatening reactions are generally seen only in small children and the elderly.

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