The black widow spider (Latrodectus mactans) has a shiny black body with a red hourglass-shape on the belly area. The bite of a black widow spider is poisonous.

The venom of the black widow spider contains poisonous chemicals that make people sick.

Black widows are found throughout the United States but predominantly in the South and West. They are usually found in barns, sheds, stone walls, fences, woodpiles, porch furniture, and other outdoor structures.

This first symptom is usually pain similar to a pinprick. This sensation is felt when the bite is actually made. Some people may not feel it. There may be minor swelling and redness.

Fifteen minutes to an hour later, a dull muscle pain spreads from the bite area to the entire body.

• If the bite is on the upper body, you will usually feel most of the pain in your chest.
• If the bite is on your lower body, you will usually feel most of the pain in the abdomen.

The following symptoms can also occur:

• Anxiety
• Difficulty breathing
• Extremely painful muscle cramps
• Headache
• High blood pressure
• Increased salivation
• Increased sweating
• Muscle weakness
• Nausea and vomiting
• Numbness
• Restlessness
• Seizures (usually seen just before death in children)

Pregnant women may have contractions and go into premature labor.

Seek immediate emergency medical treatment. Wrap ice in a washcloth or similar material and place it on the bite area. Leave it on for 10 minutes and then off for 10 minutes. Repeat this process.

Determine the following information:

• Patient's age, weight, and condition
• Time the bite occurred
• Area where the bite occurred
• Type of spider, if possible

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

See: Poison control center - emergency number

The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms may be treated with a variety of therapies, including:

• Blood pressure drugs
• Muscle relaxers
• Pain medicines

In severe cases, anti-venin medication to reverse the effect of the poison will be given. However, this drug can cause serious allergic reactions.

Severe symptoms usually go away within 2 to 3 days, but milder symptoms may persist for several weeks. Death in a normally healthy individual is very rare. Young children, the extremely ill, and the elderly may not survive a bite.

Auerbach PS. Wilderness Medicine. 4th ed. St. Louis, Mo: Mosby; 2001.

Ford MD. Clinical Toxicology. 1st ed. Philadelphia, Pa: WB Saunders; 2001.

Marx J. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 5th ed. St. Louis, Mo: Mosby; 2002.