Well, this is a fascinating example of spider toxicity. A heroin addict, looking for a cheap high or a weird story to tell her friends, ground up a black widow spider in a little water and…injected it intravenuously. I’ve heard of people eating strange dangerous things on a dare, but mainlining it takes it to a whole new level. Don’t do that!
The consequences were unpleasant but fortunately not lethal.
Several hours after arriving at the hospital, the woman began to have trouble breathing. Her wheezing became so severe that she was moved to the intensive care unit (ICU).
The diagnosis: Doctors determined that the patient’s symptoms were triggered by the black widow’s toxic venom, they wrote in a report. Black widow venom is known to disrupt signals in the nervous system, thus causing muscle pain and spasms, rapid heartbeat and high blood pressure. In some cases, it leads to inflammation that can ultimately restrict breathing, according to Harvard Medical School. The patient had asthma, and the physicians suspected that her breathing difficulties may have been worsened by an allergic reaction to a protein found in the venom.
Notably, when a black widow bites, it injects a very low volume of venom. Because the woman ground up the whole spider, she may have exposed herself to a dose orders of magnitude higher than is typical. A black widow’s venom glands hold about 0.2 milligrams of venom, on average.
The treatment: Doctors gave the woman an IV solution of calcium gluconate, a medication that can help relieve muscle cramps, but her symptoms did not improve significantly. Next, she received morphine for pain relief. The ICU doctors attempted to reduce her wheezing with three treatments of albuterol, a drug that relaxes airway muscles and is a common remedy for asthma. When those treatments were ineffective, they switched to methylprednisolone, a steroid medication. But her labored breathing continued, and the next day, she required a nebulizer. Doctors then gave her morphine and lorazepam — a type of depressant — to ease her muscle spasms and cramping.
Antivenin, or antivenom, for black widow bites carries a risk of anaphylaxis, a severe and immediate allergic reaction. Since the patient was already having trouble breathing, and the doctors suspected that antivenin would worsen her respiratory distress, they did not include it in her treatment.
By the second day of treatment, the patient’s breathing had returned to normal, her lungs were unobstructed and her muscle pain was gone. The doctors transferred her to a general ward and discharged her a day later. They instructed her to follow her standard regimen for controlling her asthma and suggested that she take oral steroids to control any lingering inflammation.
Did they also suggest that she not shoot up any more spiders?
For some reason, a lot of people have been sending me this story. Do I look like the kind of person who would inject themselves with spider venom? Are they warning me not to do this? I assure you all, I like spiders too much to want to grind one up.
Although…I do have several spiders of various species that died of natural causes, and are now floating in vials of 95% alcohol. They could be an interesting addition to a cocktail of some sort, don’t you think?