Citation

Santos JH, Oliveira SS, Alves EC, Mendonça-da-Silva I, Sachett JAG, Tavares A, Ferreira LC, Fan HW, Lacerda MV, Monteiro WM. Wilderness Environ. Med. 2017; 28(1): 46-50.

Affiliation

School of Health Sciences, Universidade do Estado do Amazonas, Manaus, Brazil (Ms Oliveira, Alves, and Sachett, and Drs Mendonça-da-Silva and Monteiro). Electronic address: wueltonmm@gmail.com.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.wem.2016.11.001

PMID

28087323

Abstract

Contact with Lonomia caterpillars can cause a hemorrhagic syndrome. In Brazil, Lonomia obliqua and Lonomia achelous are known to cause this venom-induced disease. In the Brazilian Amazon, descriptions of this kind of envenomation are scarce. Herein, we report a severe hemorrhagic syndrome caused by Lonomia envenomation in the Amazonas state, Western Brazilian Amazon. The patient showed signs of hemorrhage lasting 8 days and required Lonomia antivenom administration, which resulted in resolution of hemorrhagic syndrome. Thus, availability of Lonomia antivenom as well as early antivenom therapy administration should be addressed across remote areas in the Amazon.

Copyright © 2016 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

Lonomia; antivenom; caterpillar envenomation; erucism; hemorrhagic syndrome