Abstract

Black widow spider bites are uncommon in South Africa, but it is important for clinicians to be aware of the clinical presentation in order to initiate appropriate treatment. This case highlights t...

Highlights

  • Black widow spiders belong to the Latrodectus genus of spiders, which encompasses black and brown widow spiders.[1]

  • Black widow spider bites are uncommon in South Africa, but it is important for clinicians to be aware of the clinical presentation in order to initiate appropriate treatment

  • The array of symptoms caused by black widow spider envenomation varies widely throughout the literature, but the majority of reports agree that necrotic arachnidism is not a feature

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Summary

Black widow spider bite in Johannesburg

Black widow spider bites are uncommon in South Africa, but it is important for clinicians to be aware of the clinical presentation in order to initiate appropriate treatment. This case highlights the presentation and management of a middle-aged gentleman who presented to the Chris Hani Baragwanath hospital following a spider bite. The bite was later confirmed to be that of a black widow spider. The patient presented with the typical symptoms of latrodectism – autonomic dysfunction, muscle rigidity and cramps – and was managed symptomatically with a favourable outcome

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