A clinical and epidemiological study of Loxosceles spider envenoming in Santa Catarina, Brazil
A clinical and epidemiological study of 267 cases of envenomation by Loxosceles spp. (loxoscelism), notified to Centro de Informações Toxicológicas de Florianópolis (Santa Catarina State, Brazil), was conducted between January 1985 and December 1995. Most of the incidents occurred along the coast of...
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Published in | Transactions of the Royal Society of Tropical Medicine and Hygiene Vol. 92; no. 5; pp. 546 - 548 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article Conference Proceeding |
Language | English |
Published |
Oxford
Elsevier Ltd
01.09.1998
Royal Society of Tropical Medicine and Hygiene Elsevier |
Subjects | |
Online Access | Get full text |
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Summary: | A clinical and epidemiological study of 267 cases of envenomation by
Loxosceles spp. (loxoscelism), notified to Centro de Informações Toxicológicas de Florianópolis (Santa Catarina State, Brazil), was conducted between January 1985 and December 1995. Most of the incidents occurred along the coast of the mid-southern region of the state, during the warmest months.
L. laeta and
L. intermedia were identified as the causative agents. Cutaneous loxoscelism was clinically diagnosed in 232 (86·9%) patients with local pain (86·5%), oedema (80·5%), hyperaemia (79·8%) and necrosis (56·9%). Cutaneous-visceral loxoscelism was detected in 35 patients (13·1%) with intravascular haemolysis, manifested by jaundice (68·6%), oliguria (45·7%), dark urine (28·6%), haemorrhage (25·7%), anuria (8·6%) and shock (2·9%), besides the cutaneous effects. Specific antivenom was given to 125 patients (46·8%) and only 8(6·5%) had mild reactions. Acute renal failure was observed in 17 cases (6·4%); 4 patients (1·5%) died, all of whom were children under 14 years old. |
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Bibliography: | istex:E688415E2C8B55B1FE355810D7874434F54ED13E Address for correspondence: Marlene Zannin, Centro de Informações Toxicológicas de Santa Catarina, Hospital Universitario, UFSC, CEP. 88.040-900, Florianópolis, Santa Catarina, Brazil; fax +55 48 234 1016. ark:/67375/HXZ-7XS4MH6J-L |
ISSN: | 0035-9203 1878-3503 |
DOI: | 10.1016/S0035-9203(98)90909-9 |