Press J, Gedalia A
Harefuah. 1989 May 1;116(9):466-8.
A 4-year-old girl was admitted 30 hours after being bitten by a black widow spider. The presenting symptoms were restlessness, profuse perspiration, severe abdominal pain and fever, while hypertension, hematuria and ECG changes developed later. Treatment was with intravenous fluids only, and she recovered completely and was discharged after a week. According to the literature, management includes muscle relaxants, such as methocarbamal and diazepam, and intravenous calcium gluconate is recommended by some. We found pharmacological intervention unnecessary in this case, but in severe cases and in pregnancy black widow antiserum is indicated. The overall mortality rate 5-10%.
一名4岁女孩在被黑寡妇蜘蛛咬伤30小时后入院。呈现的症状为烦躁不安、大量出汗、严重腹痛和发热，随后出现高血压、血尿和心电图改变。仅给予静脉补液治疗，她完全康复，一周后出院。根据文献，治疗包括使用肌肉松弛剂，如美索巴莫和地西泮，一些人推荐静脉注射葡萄糖酸钙。我们发现在该病例中无需药物干预，但在严重病例和妊娠情况下，应使用黑寡妇抗血清。总体死亡率为5 - 10%。
