[Hemorrhagic erucism due to Lonomia spp. in a girl].
Accidents caused by urticating or poisonous setae from lepidoptera caterpillars are known as erucism. These accidents are produced by accidental contact, especially in children, with bristles on the insect's body surface, connected to venom glands. Symptoms may be local or systemic, with deadly clinical presentations. The accident caused by Lonomia spp. caterpillars can trigger bleeding disorders, which is considered the most severe type of erucism. The case of a 5-year-old girl is reported. She was from the town of Villarondos, in the Peruvian Amazon, department of Huánuco, who accidentally knelt down on caterpillar bristles, and subsequently experienced hemolytic anemia, plateletopenia, and coagulation disorder. The diagnosis was made based on the medical history, clinical manifestation, laboratory examination results, and response to antilonomic serum. The clinical, laboratory, and therapeutic aspects of erucism due to Lonomia spp. are discussed.
Hospital Nacional Dos de Mayo. Lima, Perú.
Walter
W
Peña-Vásquez
Hospital Nacional Dos de Mayo. Lima, Perú.
Héctor
H
Vásquez-Paz
Hospital María Auxiliadora. Lima, Perú.
Rubén
R
Vásquez-Becerra
Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú.|Facultad de Medicina. Universidad Nacional Mayor de San Marcos. Lima, Perú.
Alfredo
A
Chiappe-Gonzalez
Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú.|Facultad de Medicina. Universidad Nacional Mayor de San Marcos. Lima, Perú.
Marcos
M
Ñavincopa-Flores
Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú.|Facultad de Medicina. Universidad Nacional Mayor de San Marcos. Lima, Perú.
Eduardo
E
Ticona-Chávez
D000818:Animals; D001180:Arthropod Venoms / Q000009:adverse effects*; D002675:Child, Preschool; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007915:Lepidoptera
D001180:Arthropod Venoms