title: Priapism after western black widow spider (Latrodectus hesperus) envenomation.
abstract: Priapism in children after a black widow spider bite is a rare phenomenon with only a few case reports noted in the literature. Black widow bites are commonly associated with pain, muscle cramping, hypertension, and tachycardia. Initial treatment includes pain control with opiate or opioid medications and benzodiazepines, with antivenom reserved for severe cases of envenomation manifested by uncontrolled pain or hypertension. Treatment with antivenom for priapism is not well described; however, it has been noted to resolve priapism in the few cases that have been reported. We present a case of a 3-year-old boy who was bitten by a black widow and presented with abdominal cramping and priapism.
authors.affiliation: Department of Emergency Medicine, Loma Linda University School of Medicine, Loma Linda, CA. Electronic address: seanbushmd@gmail.com.
authors.forename: Sean
authors.initials: S
authors.lastname: Bush
authors.affiliation: Department of Emergency Medicine, Loma Linda University School of Medicine, Loma Linda, CA.
authors.forename: Rohn
authors.initials: R
authors.lastname: McCune
authors.affiliation: Department of Emergency Medicine, Loma Linda University School of Medicine, Loma Linda, CA.
authors.forename: Tammy
authors.initials: T
authors.lastname: Phan
mesh_terms: D015746:Abdominal Pain / Q000188:drug therapy; D000818:Animals; D000997:Antivenins / Q000627:therapeutic use; D001740:Black Widow Spider; D002675:Child, Preschool; D006801:Humans; D008297:Male; D011317:Priapism / Q000188:drug therapy* / Q000209:etiology; D001098:Spider Bites / Q000150:complications* / Q000188:drug therapy
chemical_list: D000997:Antivenins