Quote:
Originally Posted by Venomhunter
just like L. Mactans AV (Black widow AV) can be very tricky stuff!
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I actually had an honest-to-God Widow envenomation several years ago. My only one. Patient was a young pregnant woman and she brought in the spider to be identified. Black Widow for sure. Minimal symptoms, but w/ the neuromuscular stuff, she was at risk for uterine contraction and spontaneous loss of the fetus. We really deliberated on giving the anti-venom. In the end, we did not (after extensive consultation) based on the fact her symptoms were pretty mild and the risk for allergic reaction from the drug was so high. She and the baby ultimately did well.
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