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Acute renal failure following latrodectism
O Karcioglu1, M Gumustekin, Y Tuncok
1Department of Emergency Medicine, Dokuz Eylul University School of Medicine, Izmir, Turkey.
Veterinary and Human Toxicology
|June 1, 2001
Summary
Latrodectism from black widow spider bites can cause acute renal failure, often from prerenal causes. This case highlights the importance of recognizing kidney injury in latrodectism patients.
Area of Science:
- Toxicology
- Nephrology
Background:
- Latrodectism, caused by black widow spider venom, is a significant public health concern.
- Acute renal failure (ARF) is an uncommon but serious complication of latrodectism, typically arising from prerenal factors.
Observation:
- A 59-year-old male presented with acute oliguric renal failure following a black widow spider bite.
- The patient exhibited classic symptoms including anxiety, severe hypertension, tremor, facial edema, and diaphoresis.
Findings:
- The patient's renal failure was attributed to a combination of prerenal and intrinsic renal causes.
- Recovery was complete within one week, with no lasting adverse effects.
Implications:
- This case underscores the critical need for clinicians to consider and monitor for acute renal failure in patients with latrodectism.
- Early recognition and management of renal complications are essential for favorable outcomes in black widow spider envenomation.