Spider poisoning
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- Spiders use their venom toparalyze prey while they eat victim’s body fluids.
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The venom of spiders is acomplex mixture of neuroactive proteins and other chemicals.
- Toxic principle is p roteins which include protease, hyaluronidase, sphingomyelinase D and esterase.
- They have direct lytic effect on RBCs.
- The most venomous spiders in the world include Brown recluse spider, Hobo spider and Black widow spider.
- Some spider venoms can kill a mouse at a dose as low as 0.006 mg.
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The black widow species venom is made up of large proteins thought to affect the transmission of calcium ions of nervous system cells.
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The initial sting of the bite is followed by muscle cramps, sweating and possibly decreased blood pressure.
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There is no adequate treatment but the bite is seldom fatal.
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Brown reculse spider
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Hobo Spider
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Black widow Spider
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Signs
- The bite initially stings, then any one of the two forms may take place.
- The cutaneous form begins as edema, progresses to an ulcerated wound.
- The viscerocutaneous form, which is severe, produces hemolytic anemia, hemoglobinuria, icterus and hyperthermia.
- Ninety percent of the cases heal in 1 - 3 weeks. Some may need skin grafting.
Mechanism
- Unidentified venom component is cytotoxic to endothelial cells. This triggers intravascular coagulation and microthrombi formation within capillaries. Capillary occlusion, hemorrhage, and necrosis occur.
- Polymononuclear leukocytes and complements play important roles in potentiating the response to envenomation.
Treatment
- Steroids may be used to protect against systemic effects.
- Hemolytic anemia can be managed by use of fluids and bicarbonate to minimize hemoglobin deposition in renal tubules and by blood transfusion if anemia is severe enough to justify.
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Last modified: Friday, 25 November 2011, 7:46 AM