Spider Bite

Main Symptoms

• Bite from a spider seen on the skin
• Onset of bite symptoms (redness, pain, swelling) and a spider is seen in close proximity

Types of Spider Bites

1. Black Widow Spider Bite
   • A shiny, jet-black spider with long legs (total size 1 inch)
   • A red (or orange) hourglass-shaped marking on its under-side
   • Causes immediate local mild pain, swelling and occasionally 2 fang marks
   • Severe muscle cramps are present by 1 to 6 hours, and last 24 to 48 hours.
   • Rarely causes death (exception: bitten by several spiders or small child is bitten)
   • Note: many are dry bites because the fangs are small
2. Brown Recluse Spider Bite
   • A brown spider with long legs (total size 1/2 inch)
   • A dark violin-shaped marking on top of its head
   • Causes local pain and delayed blister formation in 4 to 8 hours
   • The center becomes bluish and depressed (crater-like) over 2 to 3 days.
   • Skin damage may require skin grafting in 10% of cases
   • Systemic symptoms such as fever, vomiting, myalgias can occur (but no life-threatening symptoms)
3. Nondangerous Spider Bites
   • More than 50 spiders in the U.S. have venom and can cause local, nonserious reactions.
   • The bites are painful and mildly swollen for 1 or 2 days (much like a bee sting).
   • Most single, unexplained, tender bites that occur during the night are due to spiders.

See More Appropriate Topic

• If not a spider bite, see INSECT BITES

Call 911 Now (your child may need an ambulance) If

• Difficulty breathing or swallowing

Call Your Doctor Now (night or day) If

• Your child looks or acts very sick
• Any black widow spider bite
• FIRST AID for Black Widow Spider Bites: Apply an ice cube or ice pack to the bite for 20 minutes to reduce the spread of the venom (no tourniquet)
• Abdominal pain, chest tightness or other muscle cramps
• Bite pain is severe
• Bite looks infected (red streaking from the bite area, yellow drainage) (Note: infection doesn't start until at least 24-48 hours after the bite. Any redness in the first 24 hours is due to venom)

Call Your Doctor within 24 Hours (between 9 and 4) If

• You think your child needs to be seen
• Bite pain persists > 2 days
• NOTE: Since brown recluse spiders are hard to identify, bring the spider along in a jar

Call Your Doctor during Weekday Office Hours If

• You have other questions or concerns

Parent Care at Home

• Nonserious spider bite and you don't think your child needs to be seen

Home Care Advice for Nondangerous Spider Bites

1. Cleansing: Wash the bite thoroughly with soap and water
2. Meat Tenderizer: Rub the bite area with a cotton ball soaked in a meat tenderizer solution for 20 minutes. (Exception: avoid if near the eye.) If not available, apply an ice cube for 20 minutes
3. Pain Medicine: Give acetaminophen or ibuprofen as needed for pain
4. Expected Course: Some swelling and pain for 1 to 2 days. It shouldn't be any worse than a bee sting
5. Call Your Doctor If
   • Severe bite pain persists > 2 hours after pain medicine
   • Abdominal pains or muscle spasms occur
   • Local pain lasts > 2 days (48 hours)
   • Bite begins to look infected
   • Your child becomes worse or develops any of the "Call Your Doctor" symptoms