Priapism after western black widow spider (Latrodectus hesperus) envenomation.

Wilderness Environ Med

Department of Emergency Medicine, Loma Linda University School of Medicine, Loma Linda, CA.

Published: March 2014

AI Article Synopsis

  • * Common symptoms of a black widow bite include pain, muscle cramps, high blood pressure, and rapid heartbeat, with initial treatment focusing on pain relief and sedation.
  • * Although antivenom is typically not used for priapism, there are cases where it has been effective, including a reported case of a 3-year-old boy experiencing abdominal cramps and priapism after a black widow bite.*

Article Abstract

Priapism in children after a black widow spider bite is a rare phenomenon with only a few case reports noted in the literature. Black widow bites are commonly associated with pain, muscle cramping, hypertension, and tachycardia. Initial treatment includes pain control with opiate or opioid medications and benzodiazepines, with antivenom reserved for severe cases of envenomation manifested by uncontrolled pain or hypertension. Treatment with antivenom for priapism is not well described; however, it has been noted to resolve priapism in the few cases that have been reported. We present a case of a 3-year-old boy who was bitten by a black widow and presented with abdominal cramping and priapism.

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http://dx.doi.org/10.1016/j.wem.2013.10.008DOI Listing

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