title: Fatal intracerebral hemorrhage secondary to Lonomia obliqua caterpillar envenoming: case report.
abstract: The case of a 70 year-old, previously healthy woman who developed a severe bleeding diathesis shortly after touching a Lonomia obliqua caterpillar and finally died from multiple intracerebral hemorrhages is described. Brain hemorrhages are the leading cause of death in patients envenomed by the Lonomia species. The pertinent literature is reviewed and the most relevant clinical features highlighted, with emphasis on diagnosis. The use of new therapeutic options such as anti-Lonomia serum is discussed.
authors.affiliation: Neurology Division, Internal Medicine Department, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil. pak@cwb.palm.com.br
authors.forename: Pedro André
authors.initials: PA
authors.lastname: Kowacs
authors.forename: Juliana
authors.initials: J
authors.lastname: Cardoso
authors.forename: Marlene
authors.initials: M
authors.lastname: Entres
authors.forename: Edison Mattos
authors.initials: EM
authors.lastname: Novak
authors.forename: Lineu César
authors.initials: LC
authors.lastname: Werneck
mesh_terms: D000368:Aged; D000818:Animals; D001180:Arthropod Venoms / Q000633:toxicity*; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007915:Lepidoptera; D014057:Tomography, X-Ray Computed
chemical_list: D001180:Arthropod Venoms