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Órgano Oficial del Hospital Angeles Health System

2016, Number 1

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Acta Med 2016; 14 (1)

Local and systemic loxoscelism

Melloni ML, Esquivel PH, Azuara CG, Ramos OC

Language: Spanish
References: 10
Page: 36-38
PDF size: 172.00 Kb.


ABSTRACT

The bite of a recluse spider is poisonous. The scientific name of this spider is Loxosceles reclusa. The effects of the poison can appear under two clinical forms: cutaneous loxoscelism (CL) and cutaneous - visceral loxoscelism (CVL) or systemic. The poison of this spider has cytotoxic and hemolytic actions. The esfingomielinase D is the mainspring of the necrosis and hemolysis with the consistent anemia and renal insufficiency. The treatment is directed to the local attention and to the prevention of the systemic effects. The aim of this article was the controversy of the use of negative pressure system in early stages. We present a paediatric case and its multidisciplinary managing.


REFERENCES

  1. Hurtado VJG, Sotelo CN, Ibarra SR. Envenenamiento por Loxosceles reclusa (araña “parda”). Rev Mex Pediatr. 2005; 72 (2): 85-88.

  2. Parra D, Torres M. Loxoscelismo: una patología vigente. Pediatría al día. 2000; 16: 178-183.

  3. Manríquez JJ, Silva SS. Loxoscelismo cutáneo y cutáneo-visceral: revisión sistemática. Rev Chil Infect. 2009; 26 (5): 420-432.

  4. De Roodt AR, Salomon OD, Lloveras SC, Orduña TA. Envenenamiento por arañas del género Loxosceles. Medicina (B Aires). 2002; 62: 83-94.

  5. Schenone HF. Cuadros tóxicos producidos por mordeduras de araña en Chile: latrodectismo y loxoscelismo. Rev Med Chile. 2003; 131: 437-444.

  6. Menéndez A, R., Ordaz Cortes, J. Uso de terapia VAC® para tratamiento de heridas por mordedura de araña reclusa café. Cir Plast Iberolatinoam. 2011; 37 (3): 295-298.

  7. Argenta LC, Morykwas MJ, Marks MW et al. Vacuum-assisted closure: state of clinic art. Plast Reconstr Surg. 2006; 117 (7 Suppl): 127S-142S.

  8. Morykwas MJ, Simpson J, Punger K et al. Vacuum-assisted closure: state of basic research and physiologic foundation. Plast Reconstr Surg. 2006; 117 (7 Suppl): 121S-126S.

  9. Scherer S, Pietramaggiori G, Mathews J et al. The mechanism of action of the vacuum-assisted closure device. Plast Reconstr Surg. 2008; 122 (3): 786-797.

  10. Anderson J, Hanson D, Langemo D et al. Atypical wounds: recognizing and treating the uncommon. Adv Skin Wound Care. 2005; 18 (9): 466-470.




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