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Missulena reflexa
General Details, Taxonomy and Biology, Venom, Clinical Effects, Treatment, First Aid , Antivenoms
Suborder: Mygalomorphae
Family: Actinopodidae
Genus: Missulena
Species: reflexa
Common Names
Mouse Spider
Region
Australia
Countries
Australia
 
Taxonomy and Biology
Size: Males : Total length ( excluding chelicerae and spinnerets ) about 9.5 mm. Legs I to IV with lengths about 15.2, 13.7, 12.9 and 13.9 mm respectively.
Description
Males : Total length ( excluding chelicerae and spinnerets ) about 9.5 mm. Legs I to IV with lengths about 15.2, 13.7, 12.9 and 13.9 mm respectively.

Males : Carapace mainly shiny red, pars cephalica is bright red, clypeus is red, pars thoracica is brown with reddish margins and a few black hairs on margins, basal segment of chelicerae is shiny, bright red, rastellum with dark red spines, very dark red or blackish red fangs with a slight scopula of reddish hairs, labium is red, sternum is reddish yellow anteriorly becoming darker posteriorly with long reddish black hairs. maxillae is red with a scopula of reddish hairs, legs are shiny brown, palpi is brown with brown hairs, genital bulb is reddish or reddish brown, stigma is paler reddish or reddish brown, dorsal surface of abdomen is cinnamon yellow with long black hairs and spinnerets are yellowish.
 
Venom
General: Venom Neurotoxins
Excitatory neurotoxins
General: Venom Myotoxins
Does not occur, based on current clinical evidence
General: Venom Procoagulants
Not present
General: Venom Anticoagulants
Not present
General: Venom Haemorrhagins
Not present
General: Venom Nephrotoxins
Not present
General: Venom Cardiotoxins
Not present
General: Venom Necrotoxins
Not present
General: Venom Other
Not present or not significant
 
Clinical Effects
General: Dangerousness
Clinical effects uncertain, but related to medically important species, therefore major envenoming cannot be excluded.
General: Rate of Envenoming: Unknown but likely to be low
General: Untreated Lethality Rate: Unknown but lethal potential cannot be excluded
General: Local Effects
Insufficient clinical reports to know
General: Local Necrosis
Does not occur, based on current clinical evidence
General: General Systemic Effects
Insufficient clinical reports to know
General: Myotoxicity
Does not occur, based on current clinical evidence
General: Coagulopathy & Haemorrhages
Does not occur, based on current clinical evidence
General: Renal Damage
Does not occur, based on current clinical evidence
General: Cardiotoxicity
Does not occur, based on current clinical evidence
General: Other
Insufficient clinical reports to know
 
First Aid
Description: First aid for Funnel Web Spider Bites (Australia)
Details
1. If the spider is still attached, immediately remove it, being careful not to sustain further bites, and place to spider in a jam jar or other container, so it may be brought to the hospital for identification.
2. After ensuring the patient and onlookers are no longer at risk of further bites by the spider, the bitten person should be reassured and persuaded to lie down and remain still. Many will be terrified, fearing sudden death and, in this mood, they may behave irrationally or even hysterically. The basis for reassurance is the fact that many bites do not result in envenoming, and the effectiveness of modern medical treatment.
3. The bite wound should not be tampered with in any way.
4. If the bite is on a limb, a broad bandage (even torn strips of clothing or pantyhose) should be applied over the bitten area at moderate pressure (as for a sprain; not so tight circulation is impaired), then extended to cover as much of the bitten limb as possible, including fingers or toes, going over the top of clothing rather than risking excessive limb movement by removing clothing. The bitten limb should then be immobilised as effectively as possible using an extemporised splint or sling.
5. If there is any impairment of vital functions, such as problems with respiration, airway, circulation, heart function, these must be supported as a priority. In particular, both airway and respiration may be impaired, requiring urgent and prolonged treatment, which may include the mouth to mask (mouth to mouth) technique of expired air transfer. Seek urgent medical attention.
6. Do not use Tourniquets, cut, suck or scarify the wound or apply chemicals or electric shock.
7. Avoid peroral intake, absolutely no alcohol. No sedatives outside hospital. If there will be considerable delay before reaching medical aid, measured in several hours to days, then give clear fluids by mouth to prevent dehydration.
8. If the offending spider has been killed or caught it should be brought with the patient for identification. Many relatively harmless spiders may appear similar to the funnel web spiders and there are several species of funnel web spiders, so identification of the spider is important.
9. The spider bite victim should be transported as quickly and as passively as possible to the nearest place where they can be seen by a medically-trained person (health station, dispensary, clinic or hospital). The bitten limb must not be exercised as muscular contraction will promote systemic absorption of venom. If no motor vehicle or boat is available, the patient can be carried on a stretcher or hurdle, on the pillion or crossbar of a bicycle or on someone's back.
10. Most traditional, and many of the more recently fashionable, first aid measures are useless and potentially dangerous. These include local cauterization, incision, excision, amputation, suction by mouth, vacuum pump or syringe, combined incision and suction ("venom-ex" apparatus), injection or instillation of compounds such as potassium permanganate, phenol (carbolic soap) and trypsin, application of electric shocks or ice (cryotherapy), use of traditional herbal, folk and other remedies including the ingestion of emetic plant products and parts of the snake, multiple incisions, tattooing and so on.

 
Treatment
Treatment Summary
Mouse spiders may, rarely, cause effects similar to funnel web spider bites, therefore can potentially cause severe, possibly fatal envenoming rapidly, so all cases should be managed as a medical emergency. At the first sign of systemic envenoming, IV CSL Funnel Web Spider Antivenom should be given, 2-4 vials initially, depending on severity, followed by further doses if envenoming persists or recurs.
Key Diagnostic Features
Painful bite, rapid development of systemic envenoming, with perioral tingling, tongue fasciculation, headache, nausea, increased sweating, salivation, lachrymation, piloerection, hypertension, pulmonary oedema.
General Approach to Management
It is possible that most cases will be minor, but some cases may be more severe, requiring admission and treatment, so assess carefully before discharge.
Antivenom Therapy
Only antivenoms available are for related species, but should be used for significant envenoming
Antivenoms
No Antivenoms
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