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TOXIC ENCOUNTERS Will the Defendant Please Rise? Black Widow Spider Poisoning Ronald B. Mack, MD When my brother and I were young, our father would regale us with stories about our cousins from his side of die family. We rarely met diem, even diough we lived in the same big city. Times were bad, money was hard to come by (legally), and people did what diey could to survive. Our paternal figure ran a "speakeasy" in a "blind pig" and we did reasonably well considering we lived in an apartment, had no automobile, and prayed that Prohibition would never be repealed. The Volstead Act and die 18th Amendment to the U.S. Constitution became our tickets to "three hots and a cot" (see Glossary). Our male cousins, Dad would tell us, were rarely able to buy new suits. When they did he would slyly ask us, "What were die first words diey heard when they wore die suits for die first time?" Playing along with our loved one, we would not answer, even though we knew die correct reply. Then Dad would say, "Will die defendant please rise!" as the bailiff of die court would say when the judge prepared to pass sentence on members of our extended family. And so die clinician-manager must think of the black widow spider in a similar way: as the guilty perpcti'ator in patients unlucky enough to have been bitten and dien suffer acute onset of muscle pain and cramping widi board-like rigidity of die abdomen. Glossary blind pig Illegal liquor establishment 18th Amendment Ratified 1/16/19. Prohibited the manufacture, sale, or transportation of intoxicating liquors within the U.S.; also banned the import and export of such beverages. (The 19th Amendment, ratified on 12/5/33, repealed the 18th Amendment.) speakeasy a place where alcoholic beverages were illegally sold three hots and a cot three meals a day and a bed to sleep in Volstead Act provided the means to investigate and punish violators of the 18th Amendment The Ubiquitous Arachnid Spiders are, allegedly, die most numerous, widespread, and varied of all of the animals on earth.' (Oh really? I thought lawyers were.) To date, more than 1(X),(XX) species have been identified; diey can be found on land, in the air, and on and under water�literally any where on eardi where life prevails. Almostall species of spiders produce a venom, obviously to help them uap, kill, and eat prey, but very few arc poisonous to us. The two potentially most dangerous spiders in diis counti-y are die Latrodectus species (die black widow and her friend) and the Loxosceles (the brown recluse and its relatives). For a discussion of die brown recluse spider, see my article, "The Bite of the Spider Woman: Loxosceles reclusa [The Brown Recluse]" NC Med J 1992;53:200-3. Black widow spiders are members of the genus Latrodectus ("robber-biter" or "murderer"). Only the lady form of this genus is dangerous to human beings. Because 1 am politically correct I will not comment on this gender disparity in wreaking havoc but 1 can think about it, silendy, to myself. These animals are small, eight-legged varmints, divided into two parts: a cephalodiorax and a large bag-like abdomen. The chelicera (a.k.a. fangs) can be readily apparent or too small to be seen. They spend their entire lives u-apping and eating files, mosqui- Dr. Mack is a faculty member with the Department of Pediatrics, Bowman Gray School of Medicine, Medical Center Boulevard, Winston-Salem 27157. 36 NCMJ / February 1994, Volume 55 Number 2
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1994 |
Identifier | NCHH-17-055 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 55 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-055.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-055 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 86 (image) |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1994 |
Identifier | NCHH-17-055-0096 |
Form General | Periodicals |
Page Type | all; all images; chart/table; article; article title |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncmed551994janmay_0096.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 55 |
Issue Number | 2 |
Page Number | 86 |
Health Discipline | Medicine |
Full Text | TOXIC ENCOUNTERS Will the Defendant Please Rise? Black Widow Spider Poisoning Ronald B. Mack, MD When my brother and I were young, our father would regale us with stories about our cousins from his side of die family. We rarely met diem, even diough we lived in the same big city. Times were bad, money was hard to come by (legally), and people did what diey could to survive. Our paternal figure ran a "speakeasy" in a "blind pig" and we did reasonably well considering we lived in an apartment, had no automobile, and prayed that Prohibition would never be repealed. The Volstead Act and die 18th Amendment to the U.S. Constitution became our tickets to "three hots and a cot" (see Glossary). Our male cousins, Dad would tell us, were rarely able to buy new suits. When they did he would slyly ask us, "What were die first words diey heard when they wore die suits for die first time?" Playing along with our loved one, we would not answer, even though we knew die correct reply. Then Dad would say, "Will die defendant please rise!" as the bailiff of die court would say when the judge prepared to pass sentence on members of our extended family. And so die clinician-manager must think of the black widow spider in a similar way: as the guilty perpcti'ator in patients unlucky enough to have been bitten and dien suffer acute onset of muscle pain and cramping widi board-like rigidity of die abdomen. Glossary blind pig Illegal liquor establishment 18th Amendment Ratified 1/16/19. Prohibited the manufacture, sale, or transportation of intoxicating liquors within the U.S.; also banned the import and export of such beverages. (The 19th Amendment, ratified on 12/5/33, repealed the 18th Amendment.) speakeasy a place where alcoholic beverages were illegally sold three hots and a cot three meals a day and a bed to sleep in Volstead Act provided the means to investigate and punish violators of the 18th Amendment The Ubiquitous Arachnid Spiders are, allegedly, die most numerous, widespread, and varied of all of the animals on earth.' (Oh really? I thought lawyers were.) To date, more than 1(X),(XX) species have been identified; diey can be found on land, in the air, and on and under water�literally any where on eardi where life prevails. Almostall species of spiders produce a venom, obviously to help them uap, kill, and eat prey, but very few arc poisonous to us. The two potentially most dangerous spiders in diis counti-y are die Latrodectus species (die black widow and her friend) and the Loxosceles (the brown recluse and its relatives). For a discussion of die brown recluse spider, see my article, "The Bite of the Spider Woman: Loxosceles reclusa [The Brown Recluse]" NC Med J 1992;53:200-3. Black widow spiders are members of the genus Latrodectus ("robber-biter" or "murderer"). Only the lady form of this genus is dangerous to human beings. Because 1 am politically correct I will not comment on this gender disparity in wreaking havoc but 1 can think about it, silendy, to myself. These animals are small, eight-legged varmints, divided into two parts: a cephalodiorax and a large bag-like abdomen. The chelicera (a.k.a. fangs) can be readily apparent or too small to be seen. They spend their entire lives u-apping and eating files, mosqui- Dr. Mack is a faculty member with the Department of Pediatrics, Bowman Gray School of Medicine, Medical Center Boulevard, Winston-Salem 27157. 36 NCMJ / February 1994, Volume 55 Number 2 |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-055.pdf |
Document Sort | all; nchh-17 |
Article Title | Will The Defendant Please Rise? Black Widow Spider Poisoning |
Article Author | Ronald B. Mack, Md |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-055 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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