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Obstetrics and gynecology · May 1994
Case ReportsLatrodectus mactans (black widow spider) envenomation: an unusual cause for abdominal pain in pregnancy.
- J M Scalzone and S L Wells.
- Shiprock Public Health Service Indian Hospital, Navajo Area, Indian Health Service, New Mexico.
- Obstet Gynecol. 1994 May 1;83(5 Pt 2):830-1.
BackgroundThe differential diagnosis of abdominal pain in pregnancy is extensive. An important consideration in endemic areas is a bite by a black widow spider.CaseA 30-year-old woman at 30 weeks' gestation presented with acute abdominal pain following an insect bite. We based the diagnosis on classic symptomatology in an area endemic for Latrodectus mactans. Treatment consisted of supportive therapy and observation. Symptoms resolved over 48 hours and did not recur. The patient delivered a healthy child at 40 weeks' gestation.ConclusionIn endemic areas, black widow spider envenomation should be part of the differential diagnosis of abdominal pain in pregnancy.
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