TY  - JOUR
PY  - 1999//
TI  - Local dermonecrotic loxoscelism in children bitten by the spider Loxosceles reclusa (the "violin" spider)
JO  - Gaceta Medica de Mexico
A1  - Escalante-Galindo, P.
A1  - Montoya-Cabrera, M. A.
A1  - Terroba-Larios, V. M.
A1  - Nava-Juárez, A. R.
A1  - Escalante-Flores, I.
SP  - 423
EP  - 426
VL  - 135
IS  - 4
N2  - 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.<p /> <p>Language: es</p>
LA  - es
SN  - 0016-3813
UR  - http://dx.doi.org/
ID  - ref1
ER  -