What does a brown recluse bite look like after 24 hours

Brown recluse spider bites often go unnoticed initially because they are usually painless bites. Occasionally, some minor burning that feels like a bee is noticed at the time of the bite. Symptoms usually develop 2-8 hours after a bite. Keep in mind that most bites cause little tissue destruction.

Initially the bite site is mildly red and upon close inspection may reveal fang marks. Within a few hours, the redness gives way to pallor with a red ring surrounding the area, or a "bull's-eye" appearance. The lesion will often appear to flow downhill over the course of many hours. The center area will then often blister, which over 12-48 hours can sink, turning bluish then black as this area of tissue dies.

Image: Photo courtesy of CDC

Text: "Brown Recluse Bite Treatment", Medical Reference from eMedicineHealth

Everyday Safety

Which spider bites are dangerous?

Most spiders found in the United States are harmless, with the exception of the black widow and the brown recluse spiders. Both of these spiders are found in warm climates.

What is a brown recluse spider?

The brown recluse spider, or violin spider, is about 1-inch long and has a violin-shaped mark on its upper back. It is often found in warm, dry climates and prefers to stay in undisturbed areas such as basements, closets, and attics. It is not an aggressive spider, but will attack if trapped or held against the skin. No deaths have been reported in the U.S. from a brown recluse bite.

What are the symptoms of a brown recluse spider bite?

Venom from the brown recluse spider usually causes local tissue damage. The following are the most common symptoms of a bite from a brown recluse spider:

  • Burning, pain, itching, or redness at the site which is usually delayed and may develop within several hours or days of the bite

  • A deep blue or purple area around the bite, surrounded by a whitish ring and large red outer ring similar to a "bulls eye"

  • An ulcer or blister that turns black

  • Headache, body aches

  • Rash

  • Fever

  • Nausea or vomiting

The symptoms of a brown recluse spider bite may look like other conditions or medical problems. Always see your healthcare provider for a diagnosis.

What is the treatment for a brown recluse spider bite?

Specific treatment for a brown recluse spider bite will be determined by your healthcare provider. Treatment may include the following:

  • Wash the area well with soap and water.

  • Apply a cold or ice pack wrapped in a cloth, or a cold, wet washcloth to the site.

  • Protect against infection, particularly in children, by applying an antibiotic lotion or cream.

  • Give medicine for pain.

  • Elevate the site if the bite happened on an arm or leg to help prevent swelling.

  • Seek immediate emergency care for further treatment. Depending on the severity of the bite, surgical treatment of the ulcerated area may be needed. Hospitalization may be needed.

Prompt treatment is essential to avoid more serious complications, especially in children. 

What is a black widow spider?

A black widow spider is a small, shiny, black, button-shaped spider with a red hourglass mark on its belly, and prefers warm climates. Black widow spider bites release a toxin that can cause damage to the nervous system, so emergency medical treatment is needed.

What are the symptoms of a black widow spider bite?

The following are the most common symptoms of a black widow spider bite:

  • Immediate pain, burning, swelling, and redness at the site (double fang marks may be seen)

  • Cramping pain and muscle rigidity in the stomach, chest, shoulders, and back

  • Headache

  • Dizziness

  • Rash and itching

  • Restlessness and anxiety

  • Sweating

  • Eyelid swelling

  • Nausea or vomiting

  • Salivation, tearing of the eyes

  • Weakness, tremors, or paralysis, especially in the legs

These symptoms of a black widow spider bite may look like other conditions or medical problems. Always see your healthcare provider for a diagnosis.

What is the treatment for a black widow spider bite?

Your healthcare provider will determine specific treatment for a black widow spider bite. Treatment may include the following:

  • Wash the area well with soap and water.

  • Apply a cold or ice pack wrapped in a cloth, or a cold, wet washcloth to the site.

  • Protect against infection, particularly in children, by applying an antibiotic lotion or cream.

  • Give medicine for pain.

  • Elevate the site if the bite happened on an arm or leg (to help prevent swelling). 

  • Seek emergency care right away for further treatment. Depending on the severity of the bite, treatment may include muscle relaxants, pain relievers and other medicines, and supportive care. Antivenin may be needed, although it is usually not required. Hospitalization may be needed.

Prompt treatment is essential to avoid more serious complications, especially in children.

What does a brown recluse bite look like after a day?

The area of the bite becomes sensitive and red about three to eight hours after the bite. The bite site feels like it is burning. The bite site changes color. It can have a bullseye look or can bruise and have a blueish color.

How can you tell if you got bit by a brown recluse?

Recluse spider bites Increasing pain over the first eight hours after the bite. Fever, chills and body aches. A bite wound with a pale center that turns dark blue or purple with a red ring around it. A bite wound that grows into an open sore (ulcer) with the skin around it dying.

How long does it take for a brown recluse bite to swell?

You may start to notice a red, tender, and inflamed area about 2 to 8 hours after the spider bit you. Over the course of the next several hours, the irritation may cause a burning sensation.

How long does it take a brown recluse spider bite to become necrotic?

The progression of necrosis from a recluse spider bite typically occurs over several days (picture 7 and picture 8). These generally heal by secondary intent over several weeks, without scarring (picture 9).

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