Abstract
The management of a victim of widow spider envenomation remains controversial because the use of specific antivenin to treat isolated, painful muscle spasms is not widely accepted. We report a case of black widow spider ( Latrodectus mactans ) envenomation which resulted in muscle spasms, pain, and elevated blood pressure. The symptoms were refractory to treatment with calcium gluconate, diazepam and methocarbamol, and were temporarily decreased by use of meperidine. All symptoms dramatically resolved following use of antivenin 46 h after envenomation. A brief review of widow spider envenomation is presented.
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