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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2014, Number 4

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An Med Asoc Med Hosp ABC 2014; 59 (4)

Cutaneous loxoscelism treated with antivenom in a pediatric patient

Rocha MJ, Quevedo PC, Solís SKF, Sandoval GMA

Language: Spanish
References: 14
Page: 315-318
PDF size: 217.35 Kb.


ABSTRACT

The bite of the Loxosceles spider, usually known as violinist spider, is a worldwide public health problem. Symptoms may occur during the first hours after the bite of the spider, presenting skin condition with erythematous or violaceous area, phlyctena (which is characteristic of loxoscelism) or dermonecrotic affection. When the disease progresses, systemic manifestations are present with hemolysis, disseminated intravascular coagulation, renal failure and even death. Antihistamines, antibiotics and dapsone are usually given as treatment; in some cases, fasciotomies or debridement have had to be applied in necrotic sites. Nevertheless, their results are controversial since the pathology may be deathly. At present, an specific antivenom has appeared in Mexico. There are currently no scientific studies documenting the experience of patients undergoing this treatment. This study has been done taking into consideration that there is limited information about the use of antivenom against Loxosceles in pediatric patients.


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