Hemorrhagic erucism due to Lonomia spp. in a girl: a case report

Autor: Walter Peña-Vásquez, Héctor Vásquez-Paz, Rubén Vásquez-Becerra, Alfredo Chiappe-Gonzalez, Marcos Ñavincopa-Flores, Eduardo Ticona-Chávez
Jazyk: Spanish; Castilian
Rok vydání: 2016
Předmět:
Zdroj: Revista Peruana de Medicina Experimental y Salud Pública, Vol 33, Iss 4, Pp 819-823 (2016)
Druh dokumentu: article
ISSN: 1726-4634
1726-4642
DOI: 10.17843/rpmesp.2016.334.2570
Popis: Accidents caused by urticating or poisonous setae from lepidoptera caterpillars are known as erucism. These accidents are produced by accidental contact, especially in children, with bristles on the insect’s body surface, connected to venom glands. Symptoms may be local or systemic, with deadly clinical presentations. The accident caused by Lonomia spp. caterpillars can trigger bleeding disorders, which is considered the most severe type of erucism. The case of a 5-year-old girl is reported. She was from the town of Villarondos, in the Peruvian Amazon, department of Huánuco, who accidentally knelt down on caterpillar bristles, and subsequently experienced hemolytic anemia, plateletopenia, and coagulation disorder. The diagnosis was made based on the medical history, clinical manifestation, laboratory examination results, and response to antilonomic serum. The clinical, laboratory, and therapeutic aspects of erucism due to Lonomia spp. are discussed.
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