Hidden Dangers of an Elusive Insect

Photo Above: (Brown Recluse Spider – Realistic Colored Pencil Sketch)

The brown recluse, is a recluse spider with a necrotic venom. Similar to other recluse spider bites, their bite sometimes requires medical attention. The brown recluse is one of three spiders (the others being black widow and Loxosceles laeta, the Chilean recluse) with medically significant venom in North America.

Brown recluse spiders are usually between 6 and 20 millimetres (0.24 and 0.79 in), but may grow larger. While typically light to medium brown, they range in color from whitish to dark brown or blackish gray. The cephalothorax and abdomen are not necessarily the same color. These spiders usually have markings on the dorsal side of their cephalothorax, with a black line coming from it that looks like a violin with the neck of the violin pointing to the rear of the spider, resulting in the nicknames fiddleback spider, brown fiddler, or violin spider.

The violin pattern is not diagnostic, as other spiders can have similar markings (e.g. cellar spiders and pirate spiders). For definitive identification, it is imperative to examine the eyes. While most spiders have eight eyes, recluse spiders have six eyes arranged in pairs (dyads) with one medial pair and two lateral pairs. Only a few other spiders have three pairs of eyes arranged in this way (e.g., scytodids). Recluses have no obvious coloration patterns on the abdomen or legs, and the legs lack spines.[2] The abdomen is covered with fine short hairs that, when viewed without magnification, give the appearance of soft fur. The leg joints may appear to be a slightly lighter color.

Life-cycle

 

Adult brown recluse spiders often live about one to two years. Each female produces several egg sacs over a period of two to three months, from May to July, with approximately fifty eggs in each sac. The eggs hatch in about one month. The spiderlings take about one year to grow to adulthood. The brown recluse spider is resilient and can tolerate up to six months of extreme drought and scarcity or absence of food. On one occasion, a brown recluse survived in controlled captivity for over five seasons without any food at all.

Behavior

 
A brown recluse’s stance on a flat surface is usually with all legs radially extended. When alarmed it may lower its body, withdraw the forward two legs straight rearward into a defensive position, withdraw the rearmost pair of legs into a position for lunging forward, and stand motionless with pedipalps raised. The pedipalps in mature specimens are dark and quite prominent and are normally held horizontally forward. When threatened it usually flees, seemingly to avoid a conflict, and if detained may further avoid contact with quick horizontal rotating movements or even resort to assuming a lifeless pose (playing dead). The spider does not usually jump unless touched brusquely, and even then its avoidance movement is more of a horizontal lunge rather than a vaulting of itself entirely off the surface. When running, the brown recluse does not leave a silk line behind, which would make it more easily tracked when it is being pursued. Movement at virtually any speed is an evenly paced gait with legs extended. When missing a leg or two it appears to favor this same gait, although (presumably when a leg has been injured) it may move and stand at rest with one leg slightly withdrawn. During travel it stops naturally and periodically when renewing its internal hydraulic blood pressure that, like most spiders, it requires to renew strength in its legs.

Habitat

 

Brown recluse spiders build asymmetrical (irregular) webs that frequently include a shelter consisting of disorderly thread. They frequently build their webs in woodpiles and sheds, closets, garages, plenum spaces, cellars, and other places that are dry and generally undisturbed. When dwelling in human residences they seem to favor cardboard, possibly because it mimics the rotting tree bark which they inhabit naturally.[citation needed] Human-recluse contact often occurs when such isolated spaces are disturbed and the spider feels threatened. Unlike most web weavers, they leave these lairs at night to hunt. Males move around more when hunting than the females, which tend to remain nearer to their webs.

Distribution

 

The range lies roughly south of a line from southeastern Nebraska through southern Iowa, Illinois, and Indiana to southwestern Ohio. In the southern states, it is native from central Texas to western Georgia and north to Kentucky.

Despite rumors to the contrary, the brown recluse spider has not established itself in California or anywhere outside its native range. There are other species of the genus Loxosceles native to the southwestern part of the United States, including California, that may resemble the brown recluse, but interactions between humans and the recluse species in California and the region are rare because those species native ranges lie outside of dense human populations. The number of “false positive” reports based on misidentifications is considerable; in a nationwide study where people submitted spiders that they thought were brown recluses, of 581 from California only 1 was a brown recluse—submitted by a family that moved from Missouri and brought it with them (compared to specimens submitted from Missouri, Kansas, and Oklahoma, where between 75% and 90% were recluses). From this study, the most common spider submitted from California as a brown recluse was in the genus Titiotus, whose bite is deemed harmless. A similar study documented that various arachnids were routinely misidentified by physicians, pest control operators, and other non-expert authorities, who told their patients or clients that the spider they had was a brown recluse when in fact it was not.] Despite the absence of brown recluses from the Western U.S., physicians in the region commonly diagnose “brown recluse bites”, leading to the popular misconception that the spiders inhabit those areas.

Over the last century, spiders have occasionally been intercepted in locations where they have no known established populations; these spiders may be transported fairly easily, though the lack of established populations well outside the natural range also indicates that such movement has not led to colonization of new areas, after decades of opportunities. Note that the occurrence of brown recluses in a single building (such as a warehouse) outside of the native range is not considered a successful colonization; such single-building populations can occur (e.g., in several such cases in Florida), but do not spread, and can be easily eradicated. The spider has also received numerous sensationalized media reports of bites occurring where these spiders are absent (and no specimens were found), such as a 2014 report from Thailand, where a man was claimed to have died from a brown recluse bite. Many misidentifications and erroneous geographic records stem from the similarity between L. reclusa and a related introduced species, the Mediterranean recluse (Loxosceles rufescens), which is found worldwide, including numerous sightings throughout the United States; the two species are superficially almost indistinguishable, and misidentifications are common, making it difficult to distinguish which reports of recluses refer to which species.

Bite

 

Frequently, the bite is not initially felt and may not be immediately painful, but it can be serious. The brown recluse bears a potentially deadly hemotoxic venom. Most bites are minor with no necrosis. However, a small number of brown recluse bites do produce severe dermonecrotic lesions (i.e. necrosis); an even smaller number produce severe cutaneous (skin) or viscerocutaneous (systemic) symptoms. In one study of clinically diagnosed brown recluse bites, skin necrosis occurred 37% of the time, while systemic illness occurred 14% of the time. In these cases, the bites produced a range of symptoms common to many members of the genus Loxosceles known as loxoscelism, which may be cutaneous and viscerocutaneous. In very rare cases, bites can even cause hemolysis—the bursting of red blood cells.

As suggested by its specific epithet reclusa (recluse), the brown recluse spider is rarely aggressive, and bites from the species are uncommon. In 2001, more than 2,000 brown recluse spiders were removed from a heavily infested home in Kansas, yet the four residents who had lived there for years were never harmed by the spiders, despite many encounters with them. The spider usually bites only when pressed against the skin, such as when tangled within clothes, shoes, towels, bedding, inside work gloves, etc. Many human victims report having been bitten after putting on clothes or shoes that had not been worn recently, or had been left for many days undisturbed on the floor. The fangs of the brown recluse are not large enough to penetrate most fabric.

When both types of loxoscelism do result, systemic effects may occur before necrosis, as the venom spreads throughout the body in minutes. Children, the elderly, and the debilitatingly ill may be more susceptible to systemic loxoscelism. The systemic symptoms most commonly experienced include nausea, vomiting, fever, rashes, and muscle and joint pain. Rarely, such bites can result in hemolysis, thrombocytopenia, disseminated intravascular coagulation, organ damage, and even death. Most fatalities are in children under the age of seven or those with a weak immune system.

While the majority of brown recluse spider bites do not result in any symptoms, cutaneous symptoms occur more frequently than systemic symptoms. In such instances, the bite forms a necrotizing ulcer as the result of soft tissue destruction and may take months to heal, leaving deep scars. These bites usually become painful and itchy within 2 to 8 hours. Pain and other local effects worsen 12 to 36 hours after the bite, and the necrosis develops over the next few days. Over time, the wound may grow to as large as 25 cm (10 inches). The damaged tissue becomes gangrenous and eventually sloughs away.

Bite treatment

 

First aid involves the application of an ice pack to control inflammation and prompt medical care. If it can be easily captured, the spider should be brought with the patient in a clear, tightly closed container so it may be identified.

Routine treatment should include immobilization of the affected limb, application of ice, local wound care, and tetanus prophylaxis. Many other therapies have been used with varying degrees of success, including hyperbaric oxygen, dapsone, antihistamines (e.g., cyproheptadine), antibiotics, dextran, glucocorticoids, vasodilators, heparin, nitroglycerin, electric shock, curettage, surgical excision, and antivenom. None of these treatments have been subjected to randomized controlled trials to conclusively show benefit. In almost all cases, bites are self-limited and typically heal without any medical intervention.

Outpatient palliative care following discharge often consists of a weak or moderate strength opioid (e.g. codeine or tramadol, respectively) depending on pain scores, an anti-inflammatory agent (e.g. naproxen, cortisone), and an antispasmodic (e.g. cyclobenzaprine, diazepam), for a few days to a week. If the pain and/or spasms have not resolved by this time, a second medical evaluation is generally advised, and differential diagnoses may be considered. Occasionally, an antibiotic is prescribed as well.

Cases of brown recluse venom travelling along a limb through a vein or artery are rare, but the resulting tissue mortification can affect an area as large as several inches and in extreme cases require excising of the wound.

Spider population control

 

Due to increased fear of these spiders prompted by greater public awareness of their presence in recent years, extermination of domestic brown recluses is performed frequently in the lower midwestern United States. Brown recluse spiders possess a variety of adaptive abilities, including the ability to survive up to 10 months with no food or water. Additionally, these spiders survive significantly longer in a relatively cool, thermally stable environment.

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