Citation

Escalante-Galindo P, Montoya-Cabrera MA, Terroba-Larios VM, Nava-Juárez AR, Escalante-Flores I. Gac. Med. Mex. 1999; 135(4): 423-426.

Vernacular Title

Loxoscelismo local dermonecrotico en ninos mordidos por la arana Loxosceles

Affiliation

Departamento de Admisión Continua y Toxicología, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, México, D.F.

Copyright

(Copyright © 1999, Academia Nacional De Medicina de Mexico)

DOI

unavailable

PMID

10491898

Abstract

This is an observational retrospective study. Our goal is to describe the local dermonecrotic reaction occurring after a spider bite in eleven pediatric patients. In seven (63.7%), the spider was identified as Loxosceles reclusa, and in four, bites were presumptive. The main symptoms and signs were pain, erythema, swelling, blisters, and vasculitis in five patients. There was a significant relationship between the time of onset before the treatment and the severity of the lesions (63.4 hours in the severe cases vs 14.4 hours in the mild cases, p < 0.05), as well the time spent in the emergency room (50 hours vs 10 hours respectively, p < 0.05). Treatment with dapsone, 1 mg/kg/24 h, and/or paracetamol and dicloxacillin was successful; one case required surgical treatment. No systemic loxoscelism occurred in this patient.

Language: es