Doctor insights on:
Red Recluse Spider Bite
I had asked a question earlier this week about itchy red spot. Now I think was a brown recluse spider bite?
Brown reculse: 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. Symptoms usually develop two to eight hours after a bite. Symptoms can include: severe pain at bite site after about 4 hours, severe itching, nausea, vomiting, fever, blistering, necrosis (tissue death). ...Read more
Three pairs of eyes instead of the usual four makes the identification of the spider, the eyes making the face look like a human skull. Treatment includes dapsone. Bites often get misdiagnosed, and are frequently bacterial infections like mrsa. Brown recluse venom is a vasoconstrictor, and Nitroglycerin causes vasodilation and theoretically can prevent necrosis. Treat ...Read more
Doubtful: If very early in its course, it's possible. If you have reason to believe it could be, seek treatment from your pcm early so that appropriate referral can be made if necessary. Recluse bites do better if aggressively treated up front with antibiotics and even surgery if serious enough. ...Read more
May this be a brown recluse spider bite. Started out looking like a boil then it went down. The place then got real red, painfull and puss came out now it is red swollen and looks and feels like the tissue around it is kinda ruff and tender at the same t
I can't diagnose your lesion. You indicated that you thought you saw a fang puncture mark. The brown recluse is actually quite small. It can be a quarter of an inch to a little over half an inch, so I am not sure that it would leave an obvious fang mark. I was bitten by a brown recluse about 3 decades ago. The bite was painless. A black eschar (scab) quickly formed and the skin around it was white and died quickly. My arm became markedly swollen, hot and red and I developed a high fever and muscular skeletal aches throughout my body. I lost a lot of tissue (skin and deeper tissue) from the site. It took over a week to get rid of my generalized symptoms and several months for my arm to heal in the area that I was bitten. I became quite ill from it.
Luckily, most people do not have this severe a reaction. Brown recluse bites can cause minor reactions or they can in rare cases be deadly. Hemotoxic venom is injected when they bite. In one study, over a third of bites led to necrosis (destruction) of the skin surrounding it. A systemic illness occurred in about 14 % of cases. However, the majority of people have no significant reaction to their bite.
I don't know if you have a boil or if it is a venoous bite or sting. Spider bites sometimes leave a black scab in the center (called an eschar) and there may lighter, or sloughing skin around that. If you develop fever, vomiting or a significant amount of skin is sloughing, the area of redness is continuing to grow larger and painful it would be appropriate to have it checked out by a medical provider.
Take care. I hope it heals quickly. ...Read more
Brown Recluse Spider: When bitten by a brown recluse spider there often is no pain initially. A blister develops with swelling. It then enlarges, hardens ; becomes red. This develops into an ulcer. Other symptoms may include: nausea, vomiting, joint pain, fevers, chills and possibly a rash over the body with small red to purple dots. ...Read more
See below: Here you go.Get a more detailed answer ›
Brown recluse: When bitten by a brown recluse spider there often is no pain initially. A blister develops with swelling. It then enlarges, hardens ; becomes red. This develops into an ulcer. Other symptoms may include: nausea, vomiting, joint pain, fevers, chills and possibly a rash over the body with small red to purple dots. ...Read more
Does it need to: Be surgically debrided? Did you need a tetanus shot? No signs of infection? Don't know how far out you are from the bite. When I had a brown recluse bite on my forearm - used elevation, compress (arm was really swollen), frequent debridements and rest (felt quite sick with fever). Take it easy. On the other hand, some brown recluse bites cause almost no sx's. ...Read more
See doc: The brown recluse (loxoceles reclusa) can cause a variety of symptoms after a bite, however, a lot of the time, the bite is minor. If the area is becoming painful, oozing, blistering, or necrotic (black dead tissue), or if you have any systemic signs like nausea, vomiting, fevers, muscle pain or other problems, then you should see a physician asap. ...Read more
Depends: This depends on the stage and severity of the bite. See http://www. Emedicinehealth. Com/spider_bite_brown_recluse_spider_bite/page11_em. Htm for pictures of the most severe bites and the spider and it's range. Please note that most bites do not reach these last stages! ...Read more
Seek immed Rx: Immediate treatment by a know, edge able experienced physician will help to limit the extent of the problem and therefore expedite healing from the injury. ...Read more
If there is good reason to believe that the spider bite is from a brown recluse, you will receive antibiotics and tetanus prophylaxis. You will use cold compresses and observe the bite at home for a few days for signs of progression such as blistering, pain, color change in skin around bite and fever. If these appear, you need to go back to the ER.
Best wishes ...Read more
NOT surgery: The drug Dapsone is often advocated, but there is no firm evidence that it helps. Nitroglycerine patches may be effective; brown recluse venom constricts blood vessels and Nitroglycerin dilates them, but again, no proof that it helps. Surgery is ineffective and may actually worsen the outcome. ...Read more
See below: Depending on the severity of the symptoms, the bite may only require local wound care done at home up to the worst situation - requiring admission to a hospital. If the bite becomes red, swollen, warm and painful with possible black central area tissue destruction (necrosis), it may require medical care for secondary infection or debridement of dead tissue. ...Read more
See below: See www. Emedicinehealth. Com/spider_bite_brown_recluse_spider_bite/article_em. Htm for a great article about this. ...Read more
Serious: It can become infected and also the toxin can destroy the tissue locally. At times it can cause an allergic response also. ...Read more
Brown recluse bite: Severe symptoms include blistering (common), necrosis (death) of skin and subcutaneous fat (less common), and severe destructive necrotic lesions with deep wide borders (rare). Minor symptoms include severe pain of bite site after 4 hours, severe itching, nausea, vomiting, fever, and myalgias (muscle pain). ...Read more
See below and y'Doc: Initially, the bite might go unnoticed or have some minor burning like a bee sting. The other symptoms then may develop from 2-8 hours later, but most bites cause little tissue destruction. Initially, the site might be red and may have small fang marks in the center. The rest of the possible symptoms are related to the time period after the bite and are too involved to list here. ...Read more
See your doctor!: These can be very problematic.Get a more detailed answer ›
See below: Initially, the bite might go unnoticed or have some minor burning like a bee sting. The other symptoms then may develop from 2-8 hours later, but most bites cause little tissue destruction. Initially, the site might be red and may have small fang marks in the center. The rest of the possible symptoms are related to the time period after the bite and are too involved to list here. ...Read more
What are symptoms from a brown recluse spider bite that are different from a regular house spider?
See below: For brown recluse bites, see www. Emedicinehealth. Com/spider_bite_brown_recluse_spider_bite/article_em. Htm for a great article about this. As for house spiders, they shouldn't cause much issues unless the bite gets infected or unless your common house spider turns out to be a hobo spider which can give a bite similar to a recluse. ...Read more
If you have an untreated systemic reaction to a brown recluse spider bite can you continue to have systemic problems?
After 1.5 years, my husband still has residual health problems from a brown recluse spider bite. Can you give us info on this?
If u suspect a brown recluse spider bite but 22 hours later there's still no sign of a wound, could it be possible it wasn't that kind of spider?
Yes: The bite frequently is not felt at first and may not be painful, but can be serious. It has a potentially deadly hemotoxic venom. Most bites are minor with no necrosis. However, a small number of brown recluse bites do produce severe dermonecrotic lesions and fewer produce severe skin or systemic symptoms. Occasionally there will be minimal reaction. ...Read more
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