title: Probable chronic renal failure caused by Lonomia caterpillar envenomation.
abstract: Erucism is a skin reaction to envenomation from certain poisonous caterpillar bristles. In Brazil, most reports of erucism provoked by Lonomia caterpillars are from the southern region. Most manifestations of erucism are local and include burning pain, itching, local hyperthermia and, rarely, blisters (benign symptoms with spontaneous regression in a few hours). General symptoms such as nausea and vomiting, headache, fever, myalgia, abdominal pain and conjunctivitis may also occur. Uncommon symptoms include arthritis, coagulation disorders (manifested as bruising and bleeding), intracerebral hemorrhage and acute renal failure, which comprise serious complications. The present study reports the case of 60-year-old patient from Rio de Janeiro state, Brazil, who came into contact with a caterpillar and developed, a few days later, chronic renal disease.
authors.affiliation: Universidade Federal de Viçosa (UFV), Viçosa, MG, Brasil. rsbatista@ufv.br.
authors.forename: Poliana Abrantes
authors.initials: PA
authors.lastname: Schmitberger
authors.forename: Tássia Clara
authors.initials: TC
authors.lastname: Fernandes
authors.forename: Robson Corrêa
authors.initials: RC
authors.lastname: Santos
authors.forename: Rafael Campos
authors.initials: RC
authors.lastname: de Assis
authors.forename: Andréia Patrícia
authors.initials: AP
authors.lastname: Gomes
authors.forename: Priscila Karina
authors.initials: PK
authors.lastname: Siqueira
authors.forename: Rodrigo Roger
authors.initials: RR
authors.lastname: Vitorino
authors.forename: Eduardo Gomes
authors.initials: EG
authors.lastname: de Mendonça
authors.forename: Maria Goreti
authors.initials: MG
authors.lastname: de Almeida Oliveira
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Siqueira-Batista