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November 25, 2009
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Spider Bites
(Including Black Widow and Brown Recluse)

Medical Author: Melissa Conrad Stoppler, MD
Medical Editor: William C. Shiel, Jr, MD, FACP, FACR

Viewer Comments

Featured spider bites patient discussions on type of spider bite and reaction to bite

"I was bitten by a recluse spider five years ago. I had high fever, severe body aches, severe headache and chills and a foot that swelled up and was purple. When tested four months later, I was positive for Lyme disease as well. I have been treated three times for a 5-month period with two antibiotics and then four months later the sweats began. I am now looking for an infectious disease specialist."


Patient Discussions are not a substitute for professional medical advice, or treatment.
See the disclaimer at the bottom of the comments page.
Doctor to Patient

Are spider bites dangerous?

Most spiders do not have mouth parts strong enough to penetrate human skin, and the majority of spiders found in the U.S. and are actually harmless. There are two notable exceptions, the black widow spider and the brown recluse spider, which are both dangerous to humans. Spider bites are fortunately uncommon. In many cases, presumed spider bites are actually due to another skin condition or an insect sting.

The black widow and brown recluse spiders are more common in the southern states of the U.S. They prefer warm, dry climates and undisturbed areas such as basements, closets, woodpiles, attics, or under sinks. The black widow spider is a small, black, shiny spider with a red hourglass marking on its belly. The brown recluse spider is sometimes termed a "violin spider." It is about an inch long and has a marking resembling a violin on the upper part of its back. Bites from both the black widow and brown recluse spiders are dangerous to humans and require prompt emergency medical care.

What are the symptoms of spider bites?

Bites from most (non-poisonous) spiders cause local redness, irritation, and pain that usually can be treated at home using an over-the-counter pain reliever along with application of cooling packs or a wet cloth to relieve swelling. These local reactions usually resolve without treatment over a period of 7-10 days. Rarely, an individual can have an allergic reaction to a spider bite, even to a bite from a non-poisonous spider, but allergic reactions are more likely to be due to contact with a spider than from a spider bite.

Black widow spider bite symptoms

A black widow spider bite is said to feel like a pinprick, although victims may not realize that they have been bitten. Sometimes double fang marks may be seen at the location of the bite. The most common localized symptoms of a black widow spider bite are immediate pain, burning, swelling, and redness.

Picture of the underside of a black widow spider and an egg sack
Picture of the underside of a black widow spider and an egg sack

Picture of a top view of a black widow spider
Picture of a top view of a black widow spider



Next: Brown recluse spider bite symptoms (picture of brown recluse spider) »

Spider Bites: Type of Spider and Reaction

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What type of spider bit you, and did you have a reaction?

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Spider Bites (Including Black Widow and Brown Recluse)

What can I do to keep insects away?

  • Use structural barriers such as window screens and netting.
  • Avoid wooded, brushy, and grassy areas when possible.
  • Don't wear heavily scented soaps and perfumes.
  • Use caution eating outside and drinking; don't leave drinks and garbage cans uncovered.
  • Don't wear bright colors, which attract bees.
  • Wear long sleeves and long pants when possible.
  • Tuck pant legs into socks or shoes.
  • Wear a hat for extra protection.
  • Get rid of containers with standing water that give mosquitoes a breeding ground. Examples include water in flowerpots and outdoor pet dishes.
  • Use insect repellent if nonchemical methods are ineffective and you spend time in tall grass and woody areas.
  • Treat camping gear, clothes, and shoes with permethrin, which repels and kills ticks, mosquitoes, and other insects. Clothing that is pre-treated with permethrin is also c...

Read the Bug Bites and Stings article »










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