Fatal intracerebral hemorrhage secondary to Lonomia obliqua caterpillar envenoming: case report.
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.
Kowacs
Pedro André
PA
Neurology Division, Internal Medicine Department, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil. pak@cwb.palm.com.br
Cardoso
Juliana
J
Entres
Marlene
M
Novak
Edison Mattos
EM
Werneck
Lineu César
LC
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
D001180:Arthropod Venoms