Spider poisoning

SPIDER POISONING

  • Spiders use their venom toparalyze prey while they eat victim’s body fluids.
  • 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.
  • The black widow species venom is made up of large proteins thought to affect the transmission of calcium ions of nervous system cells.

  • The initial sting of the bite is followed by muscle cramps, sweating and possibly decreased blood pressure.

  • There is no adequate treatment but the bite is seldom fatal.

Brown_reculse_spider Hobo_spider Black_widow_spider

Brown reculse spider

Hobo Spider

Black widow Spider

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.
Last modified: Friday, 25 November 2011, 7:46 AM