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Brown recluse spider bite

WebSlave

It is what it is, but certainly not what it was.
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Location
Crawfordville, FL
The critter:
brown_recluse1.jpg

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Day 3 after bite:
day3.jpg

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Day 4 after bite:
day4.jpg

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Day 5 after bite:
day5.jpg

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Day 6 after bite:
day6.jpg

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Day 9 after bite:
day9.jpg

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Day10 after bite:
day10.jpg



No, I don't know whom the hand belongs to. This was sent to me via an email.
 
Last edited:
Man that is nasty

I hate the thought of those spiders. One thing to be glad about living in Vermont. Hardly any of those critters around.

But aren't those pics numbered backwards. I would think the wound gets worse slowly not the other way around.
 
ACK!@

It's... not too likely that it's a recluse envenomation... really...

The chelicerae in L. reclusa are fused, they can't simply bite because they're inclined to, the body has to be crushed and damaged to force them into the skin, they literally can not bite/envenomate on their own, which is why most legitimate envenomations occur when someone is asleep (and rolls over on one) or on very rare occasions when sticking part of their body someplace they can't see (foot inside a shoe for instance)...

Secondly, the necrotic effect of recluse venom produces a "dry" rot to the tissue, there is very little fluid involved either at the site of envenomation or as the bullseye pattern spreads, that is clearly not the case in these pictures.

First thing I would do is verify that the person claiming to have been envenomated actually lives in the natural range of the species... most recluse envenomations are diagnosed by "Medical professionals" way the hell outside of the areas the species are found in...

And even if it was a recluse envenomation or even a suspected recluse envenomation, the necrotic effect wouldn't have spread the way the one in the photos did since the introduction of a (fairly) new treatment using nitroglycerin patches as opposed to the older and very ineffective O2 therapy...

Go here... http://dermatology.cdlib.org/DOJvol5num2/special/recluse.html for a good range map...

Here... http://spiders.ucr.edu/necrotic.html for more reasonable explainations than a spider with fused chelicerae...

And here... http://atshq.org/articles/sbadwp.html for a very important piece by Bob Greene.

Gotta say, I'm kinda surprised to see this sort of thing from herpers... you'd think that if anyone would understand the near psycotic public phobia of an animal, to the point where they create situations (the diagnosed cases by people in white coats with their heads up their... rectums... outside the spider's range) specifically in order to implicate them as being dangerous it'd be herpers. This is exactly the same as stories about how someone's corn snake ate their neighbor's kitten.

The upshoot though is that whoever was diagnosed as being envenomated by a recluse has one hell of a malpractice lawsuit open to them... make the MD pay for their quickness to blame a source that's not responsible.
 
Seamus - so where exactly are brown recluse spiders found these days?

We're not talking about a historical natural range any longer, are we? That would be like saying that someone couldn't have been stung by fire ants, because the fire ant's natural range (at least where they occured in nature before being spread around with the help of mankind) does not include Florida.

I have heard from people that they have gotten brown recluse spiders along with their cricket shipments on occasion. No, I have not witnessed that myself, but the people whom have told me that accurately described what they look like. Enough so that I had no reason to doubt their word.

And Dianne, yes, somehow I had reversed the numbers of the photos when I copied them up to my server and labeled them. Sorry... I have corrected that in the original message.
 
Seamus - so where exactly are brown recluse spiders found these days?

There is the range map on the website I linked to that's still very accurate, the species is not naturally found outside of that area... there is always a minimal possibility of individual animals being sent someplace else in produce shipments or in a box of crickets or on a moving van or... anything that goes from one area to the other... But it's such a minescule chance as to be virtually meaningless, being transported, then being encountered, then being crushed at the proper angle for incidental envenomation... the chances against it are astronomical. The difference between recluse and fireants is that fire ants have established viable, breeding populations outside their natural range, as of right now with the information I have avaliable, Brown recluse have not.

You sure about the bite of a recluse? Keith at www.Chameleoncounters.com had a bite a few weeks ago. I was able to witness it (Keith being a good friend). It was not dry and produces alot of fluid. I'll post pics of it shortly

Did you see the spider itself prior to the envenomation or just the injury?

If you did happen to see it, how many eyes did it have?

Did he happen to smash the spider against himself (or himself against the spider)?

Recluse envenomations are misdiagnosed more often than they are properly diagnosed simply because of the somewhat foolish and inaccurate public "everyone knows" mentality about the nature of the bites and a bit of innocent ignorance about the basic physical construction of the spider...

The chelicerae (fangs) are fused in Loxoceles, the animal can't wiggle them around like a tarantula, they're essentially stuck in position, a position that doesn't allow them to strike at broad surfaces... with an average adult size of about 3/4" leg span being a bigger individual, and the body much smaller, this leaves them unable to manuver the chelicerae into any position that would be able to puncture human skin without their body being crushed and bent, forcing the "fangs" through the skin. Additionally, due to simple size, the envenomation from a recluse could barely be felt and the venom is reported to have virtually no pain associated with it immediately after envenomation (as opposed to Latrodectus, the other big scary spiders we've got in the U.S. which are also overblown but really do hurt) according to the verified and substantiated reports where the spider was identified as being the culprit by a qualified arachnidologist.

The necrotic effect of the venom is very much so a dry rot, it's not a big juicy fluid oozing mess, it's an evenly spreading area of fairly compact necrotic tissue with a narrow band of active rot... there's healthy tissue, there's a very small area of currently rotting tissue and there's the area where the tissue is essentially gone.

Recluse envenomations can be very easily treated by any competent doctor with a fairly simple nitro patch above the area of envenomation, halting the spread of the necrotic effect almost immediately and leaving only faint scarring... problem is, most necrotic effects are misdiagnosed and the treatments used for one cause won't work on certain others... a common treatment for years was O2 therapy, which would have no positive effect on a recluse enevenomation... but again, most of the diagnosed envenomations simply aren't factual.

There have been no substantiated and verified cases of humans being capable of having allergic reactions to spider venoms, it's possible of course, there are people allergic to sunshine or water... but it hasn't happened yet in a way that has been verified by competent doctors (Competent is a HUGE issue here, I wouldn't trust an arachnidologist to perform surgery and I don't trust doctors to diagnose envenomations, they simply don't have reliable education about the subject in most cases) however... plenty of people are allergic, to some degree or another to a whole host of insect venoms, plant toxins, secretions from microorganisms, household chemicals, amphibian secretions, reptile venoms, animal dander and hundreds of other things... many of which can produce really nasty effects if introduced into the bloodstream via any open wound (meaning papercuts).

I'm not going to say 100% that it isn't a recluse envenomation... I suppose it could have picked up a secondary infection to cause the fluid buildup... and I suppose that this person could have crushed the spider against themselves... and I suppose the doctor could (and most likely did) have proposed an improper treatment... But it's not too likely and unless the spider was seen in advance of the enevenomation and collected afterwards and the species verified by someone who can tell a recluse from a wolf or cellar spider (you'd be amazed at how many people can't), I'm going to remain skeptical and file this with most other "recluse envenomations" I've been told about.

It's really a matter of public education and the understanding of the masses, everyone knows someone who knows someone who's cousin's best friend's roommate from college's sister's boyfriend's auto mechanic's kid was envenomated by a recluse, usually hundreds of miles outside of the animals natural range and it usually was treated with antibiotics (which do nothing whatsoever except maybe help a bit with any possible secondary infections in actual envenomations)... The same way they all know someone similar only it was a burmese python that ate someone's kid or a rattler that killed an entire family while they were at a picnic.

Dr. Greene there, the one who wrote the very short piece in the third link above is online pretty frequently and is certainly a trustworthy source, right up there with Rick West (although for some reason I have gotten the impression that they don't get along or respect one another but I have no idea why I have that impression it's just a feeling) I'll email him a link to the thread... he might participate, he might not... I acknowledge fully that the recluse envenomations I've seen have been mostly in books, with only a few suspected envenomations in person (followed appropriate pathology and responded to treatment but the spider was not collected for identification) but those photos really don't look like any of the true envenomations that I've ever seen, they DO however look like a lot of misdiagnosed envenomations caused by insect bites/stings or lyme disease.

There's something of a larger issue here too... one that covers any animal capable of venom production and the public opinion that has grown up around them... the idea that somehow the animals are dangerous and need to be exterminated despite the backlash this has on the local ecology. Someone has a house full of wolf spiders and can't tell the difference between them and recluse... they are scared because of the stories they have heard and the occasional picture that shows up... They have the house fumigated multiple times to ensure the population is decimated. Much like any other predatory species, the spiders have a slower reproductive rate than their prey and don't bounce back from the fumigation as quickly, the house is over-run by true pest species that pose an actual health risk. It's very nearly identical to rattlesnake roundups, over the top extermination of a species simply because of inaccurate fears based in fantasy. I'm not a whiney tree hugging type who latches on to every "Save the Insert Species here!" campaign that comes along, but I do my research and try to reccognize legitimate and reasonable danger when it occurs and to differentiate that from superstition and misinformation before deciding on a course of action or response. In fact, after learning that L. reclusa had fused chelicerae, I was skeptical and had about forty of them sent from Missouri specifically to euthanize them and verify that this was in fact the case (it was in the first thirty I checked, after all of them were fused, I kept the remaining ten for a time as pets... but I've also kept leeches (Some really pretty Placobdella parasitica and P. ornata that I pulled off a batch of red eared sliders), so I might not be completely sane).
 
One thing I just noticed after my last response posted...

One thing to be glad about living in Vermont. Hardly any of those critters around.

There are NONE of those critters in Vermont or anywhere even close, but the statement that there are "hardly any" (indicating there are some) is important because it shows how easily recluse can be confused/mistaken with wolf spiders and cellar spiders, even by educated individuals with a strong understanding of animals.
 
Seamus

I am sorry but it was late at night and I was half asleep. I should have worded that differently. I know that they are not native in my area (one plus for winters), but we had a report a couple years back in our local paper of a person who had found one in their house and it was a definite confirmed (caught live) recluse that they found in their house. I realize, as did everyone, that this had to have been brought in 'with something.' But once in a warm home, they live just as happily as in warmer climates. Hence my saying 'hardly found' here, since they can be brought in with other things and once in the home, enjoy the creature comforts.
Sorry, if I worded that wrong and made you think that I thought they were indiginous to this area.
 
Military bases

Any time your any where near a military base in the spring or summer.........just throw out the "Natural range" of any creepy, crawly, icky thing that can fit in an old box drug from base to base. I have seen cockroaches the size of small dogs (I may be exagerating a little) dash out of boxes shipped with household good from Hawaii, I've unpacked boxes with spiders bigger than dinner plates (now, I am exagerating, but I swear it had 10 legs!! It was a big spider at any rate) and when I was living in Alaska the local playground was shut down when a back widow nest was found in the wooden play ground equipment (Not exagerating, the entire base got paronoid over one non-native spider, they shut down the park until they decided if there were any others WINTER in Alaska would take care of any non-native survivors)

But, then I am willing to admit that maybe I am a bit unreasonable when it comes to spiders (I swear that spider had AT LEAST 11 legs, was bigger than a basketball, carried an Uzi and GROWLED at me!)

I've been afraid of the brown recluse for years, after hearing awful, terrifying stories about the necrotic bite, and that they often nail house wives who are cleaning old forgotten areas that the "Recluse" would love to be nesting in.

That, and black widows. Again, with the stories.

So pretty much every time I see a spider I do the "Oh my god! It's a spider!" dance. And yeah, I'm afraid to kill them too (I have visions of swinging my shoe and just missing the spider, then it turns around and announces "Missed me B-itch! My turn!!")

Unreasonable fear of spiders. Yep, thats me.

Unpack those boxes with a bottle of raid, a shoe, and a little music for the "Oh my God! It's a Spider!" dance
 
On that link with the range map. I'm not sure how large they consider the marginal areas of the range, but I live 150 miles outside of it and they are native here. I personally saw 6 browns that were captured in Buncombe County NC.
Three were donated to the Nature Center there for exhibit, and the others were kept by the fellow that captured them, a local arachnid afficionado.
 
I can't speak for any other portion of the country, but the Ozaeks of Missouri are right in the middle of that range map. As such, brown recluse spiders ("fiddle backs," as they're often called here) and black widdows are both very common species. It has been estimated by the Missouri Consevation Department that brown recluses inhabit as many as 90% of all southern Missouri homes!

I tell you what, there is nothing worse than having to go out to the wood pile as a kid and put those gloves on to carry in the wood! I was always convinced that a widdow would be in there waiting for me! Nothing worse, except having to clean out your closet, where it was almost a guaranteed certainty to find multiple recluse spiders throughout the house!

Not fun!
 
Darin

I am sure it is great not having to have cold, wind blowing, snowing winters of several feet of snow. But I have to say, i don't envy you when it comes to crawlies.....I would not like to have to worry about such 'nice' nasties. :(
 
I may be about ready to eat some humble pie on this issue... I e-mailed Dr. Breene and, after cringing the entire time in realizing that I misspelled his name several times in this thread, got a response back that he had some serious time restrictions, but would post when he had a few moments to do so... and that there were a few inaccuracies in what I wrote...

So I'll just be waiting in anticipatory silence on the issue in preperation for the "I told you so" that I quite likely deserve from everyone I disagreed with.

I only ask that you hold off on my chastising until after Dr Breene posts exactly what i was wrong about (besides his name, my apologies for that Sir, I intended no disrespect).
 
recluse r5ange and bites

yes the range is a bit small making me wonder if the map is a bit old
having said that , I have found recluse spiders 1 hour south of Columbus Oh.
and as far as bites go I was bit twice and the wound looked nothing like that in the original post by RZ. I realize that some people might have a more severe reaction to the bite but mine was nothing like that. Quite possibly the person was bit on a vein or by one, and the venom traveled destroying tissue on the way??
There are a number of spiders that produce a wound similiar to a recluse, hobo spiders , purse spiders [ not the mygals found east of the Mississippi on tree trunks, the little gold ones in the corner ceiling of your house] to name a couple.
The is also more than one loxoceles in the US , two that come to mind are reclusa and laeta , and all loxeceles have a rough bite, some a bit worse than others.
 
As of this posting, I haven't heard anything further from Dr. Breene, although he did indicate that he was rather busy lately and didn't have the time avaliable to play around on the internet that he used to, hopefully when he has a few spare moments he'll post.

I'm a bit hesitant to say too much more on the subject after having been told there were some inaccuracies in my original posts but...

John raises an excellent point, there are literally hundreds of possible causes for necrotic wounds, most of which are far more likely than ANY spider envenomation. Allergic reactions to insect envenomations, certain bacteria, plant toxins, loads of potential reactions to chemicals... heck, lyme disease is more frequently verified to produce a necrotic effect than recluse envenomations is.

Misdiagnosed injuries are a substantial impediment to reliable information, it's a bit difficult to question MDs about their determinations because they are usually the most qualified individuals when dealing with physical problems but... arcahnidologists or toxinologists would be much more reliable sources.

I am a bit relieved to see that I'm not the only one who thinks the picture posted bears only superficial resemblance to a recluse envenomation though... What it DOES remind me of is mild crotalid envenomations and a few pictures I saw of an allergic reaction to hognose toxins (since the "rear fangs" in heterodon aren't hollow or grooved and the underdeveloped duvernoys glands don't empty out near them, technically hognoses don't inject the toxins present in their saliva and aren't venomous... there are toxins in the saliva which can pack much more of a whallop if they get into the tissue or bloodstream than most people belive though).
 
As mentioned in my original post, those photos were included in an email sent to me. I do not know the original source of the photos. Matter of fact, this was sent to me from Don Soderberg, and I believe he got it from his brother.

Matter of fact, when I first looked at that email, I looked at the photos in reverse order and thought it was some danged spam mail advertising some new miracle drug or something. I thought "Darn, that awful wound sure healed up nicely in just 10 days!!" :dunce:
 
BTW, if anyone has some extra time on their hands and wants to try to follow this up and attempt to reach the source, here's the original header info in that email I received from Don:

----- Original Message -----
From: "Wines, Bill W (N-Vanite)" <[email protected]>
To: "Billy Shipley" <[email protected]>; <[email protected]>; "doug
soderberg" <[email protected]>; "Duke, Dustin C"
<[email protected]>; "Harrison, Greg" <[email protected]>;
"Taylor, Scott D" <[email protected]>; "Curtis, Steven"
<[email protected]>; "Shirley, Kyle H"
<[email protected]>
Sent: Monday, June 09, 2003 1:49 PM
Subject: FW: Spider Bite

I have to admit that I am curious as to the outcome of this wound.

You know, I hear what you are saying about misdiagnosed bites, Seamus, and I have to confess, that if I were this guy and the doc told me, "Well gee, Rich, it's definitely NOT a brown recluse spider bite, but be don't know WHAT caused it." I would be just a bit perturbed. To think that something that could cause that kind of damage might be lurking around and I wouldn't have a clue what it was would unnerve me.
 
Seamus Haley said:
There is the range map on the website I linked to that's still very accurate, the species is not naturally found outside of that area... there is always a minimal possibility of individual animals being sent someplace else in produce shipments or in a box of crickets or on a moving van or.

A bit more than that. The range maps we have are best guesses. Some of the 13 Loxosceles species known from North America (there are doubtless more) are apparently spreading as did the American and German cockroaches, both of those originally came from tropical Africa. The Mediterranean recluse (where it apparently came from), L. rufescens, has been found pretty much up and down the US eastern seaboard.
Some range maps can be accurate, but, especially with arthropods, they are simply reporting where they've been found so far.


>>. the chances against it are astronomical.>>

I tend to agree. Nearly all the bites I've seen over two decades have the typical archery target type marks, bands of red, yellow, black, blue more (may have 2 or 3 bands of different colors). I've never seen the area around the bite the way it is in the photo, but as Seemus says, at least scienitists can't rule it out. This "bite" could well be due to contact with a plant the person was highly sensitive to, who knows? The information about circumstances was scanty at best.


>Did you see the spider itself prior to the envenomation or just the injury?
If you did happen to see it, how many eyes did it have?
Did he happen to smash the spider against himself (or himself against the spider)?>>

Right questions to ask.

>>Recluse envenomations are misdiagnosed more often than they are properly diagnosed simply because of the somewhat foolish and inaccurate public "everyone knows" mentality about the nature of the bites and a bit of innocent ignorance about the basic physical construction of the spider... >>

Agreed.


>>The chelicerae (fangs) are fused in Loxoceles, the animal can't wiggle them around like a tarantula, they're essentially stuck in position, a position that doesn't allow them to strike at broad surfaces.>>

Don't let this fool you. Yes, the shelicerae are fused, they can only wiggle the fangs around and penetrate enough to get the job done, why does skin have to be deeply penetrated? It doesn't.


>>The necrotic effect of the venom is very much so a dry rot, it's not a big juicy fluid oozing mess, it's an evenly spreading area of fairly compact necrotic tissue with a narrow band of active rot.>

See above, and remember, only 1 in 10 people have severe reactions to the venom, the remainder heal up quite nicely by themselves with only a small scar involved.


>Recluse envenomations can be very easily treated by any competent doctor with a fairly simple nitro patch above the area of envenomation, halting the spread of the necrotic effect almost immediately and leaving only faint scarring>>

1 mg/hr patches work best, not a failure reported in 18 years that I know of.
But it's the MD that's the problem. The treatment has not, nor do I believe it ever will be scientifically documented. How can that be? You'd need humans, probably over 50, you'd need actual venom injections, and you'd need a control not getting the treatment. Anyone think that's going to happen?
So the MDs snub their noses, the severely affected suffer. It's one of those things in medicine that works but nobody can understand why, there's more of them in medicine than most MDs care to admit.


>Dr. Greene there, the one who wrote the very short piece in the third link above is online pretty frequently and is certainly a trustworthy source, right up there with Rick West (although for some reason I have gotten the impression that they don't get along or respect one another but I have no idea why I have that impression it's just a feeling)<<<

Don't worry, everybody automatically put a "g" on my name
<sigh!>. I've always doubted Rick liked me much, his problem, I don't mind. It may be because of a small education thing, I have a Ph.D. from the department of entomology in arachnology from Texas A&M University. He never went to college. Or maybe it's because he Canadian and doesn't like Texan/New Mexicans.
Neither here nor there.

Hope that helped a little.

RG Breene
AKA
sb
 
Thank you Seamus and everybody else for this post! Living in Tucson we didn't have the very bad recluse but the little browns we had scared me half to death.

After thinking I was bitten in my sleep I looked into it for at least a day and came up with all the same conclusions Seamus mentioned.

Made me feel better but not great. There seem to be a lot of people that "think" they got bitten and not that bites can't be bad but as was pointed out I think very few people do really get bitten by a recluse each year.

Anyway, just wanted to say thank for educating us Seamus, nice post!

There have been no substantiated and verified cases of humans being capable of having allergic reactions to spider venoms

It's my understanding you can't have an allergy to something you haven't been exposed to at least once.

With that said so few people get bit by one spoder but to get bitten twice would be very odd/rare.

I understand things can effect this like being bitten/stung by another insect with a venom closely related. Still thought it was note worthy.
 
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