Symptoms and Signs of Brown Recluse Spider Bite

Brown Recluse Spider Bite Symptoms

Brown recluse spider bites often go unnoticed initially because they are usually painless bites. Occasionally, some minor burning that feels like a bee sting is noticed at the time of the bite and a small white blister develops at the site of the bite. Symptoms usually develop two to eight hours after a bite. Keep in mind that most bites cause little tissue destruction.

Victims may experience these symptoms:

• severe pain at bite site after about four hours,
• severe itching,
• nausea,
• vomiting,
• fever, and
• myalgias (muscle pain).

Initially the bite site is mildly red and upon close inspection may reveal fang marks. Most commonly, the bite site will become firm and heal with little scaring over the next few days or weeks. Occasionally, the local reaction will be more severe with erythema and blistering, sometimes leading to a blue discoloration, and ultimately leading to a necrotic lesion and scarring. Signs that may be present include:

• blistering (common),
• necrosis (death) of skin and subcutaneous fat (less common), and
• severe destructive necrotic lesions with deep wide borders (rare).

Brown Recluse Spider Bite Causes

The brown recluse venom is extremely poisonous, even more potent than that of a rattlesnake. Yet recluse venom causes less disease than a rattlesnake bite because of the small quantities injected into its victims. The venom of the brown recluse is toxic to cells and tissues.

• This venom is a collection of enzymes. One of the specific enzymes, once released into the victim's skin, causes destruction of local cell membranes, which disrupts the integrity of tissues leading to local breakdown of skin, fat, and blood vessels. This process leads to eventual tissue death (necrosis) in areas immediately surrounding the bite site.
• The venom also induces in its victim an immune response. The victim's immune system releases inflammatory agents-histamines, cytokines, and interleukins-that recruit signal specific disease-fighting white blood cells to the area of injury. In severe cases, however, these same inflammatory agents can themselves cause injury. These secondary effects of the venom, although extremely rare, can produce these more significant side effects of the spider bite:
  • Destruction of red blood cells
  • Low platelet count
  • Blood clots in the capillaries and loss of ability to form clots where needed
  • Acute renal failure (kidney damage)
  • Coma
  • Death