Mediterranean black widow spider (Latrodectus tredecimguttatus) poisoning in a metropolitan city in Turkey

Introduction: Black widow spider bites cause severe poisoning (latrodectism) with symptoms such as muscle spasm, rigidity, pain, vomiting, hypertension, and tachycardia. Although Latrodectus mactans (L. mactans) is the most well-known species to latrodectism, it has not been reported in Turkey. We report a case caused by tredecimguttatus tredecimguttatus) known be Turkey for first time literature.
 Case: A 35-year-old male patient presented complaints of pain lower extremities excessive sweating due bite. Discomfort, agitation, sweaty appearance, tachycardia, hypertensive attack were observed patient. Because black antivenom available because continuation despite treatment 12 hours emergency department, was transferred intensive care unit, where he given IV sedoanalgesia. Nicardipine infusion administered treat hypertension attack. The patient’s improved on fifth day. dead that brought identified an expert biologist L. tredecimguttatus.
 Conclusion: It should considered latrodectism bite may resistant emergent hospitalization required.