Hemorrhagic erucism due to Lonomia spp. in a girl: a case report

Authors

  • Walter Peña-Vásquez Hospital Nacional Dos de Mayo. Lima, Perú. Médico pediatra
  • Héctor Vásquez-Paz Hospital Nacional Dos de Mayo. Lima, Perú. Médico pediatra
  • Rubén Vásquez-Becerra Hospital María Auxiliadora. Lima, Perú. médico infectólogo.
  • Alfredo 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. médico infectólogo
  • Marcos 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. médico infectólogo
  • Eduardo Ticona-Chávez Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Facultad de Medicina. Universidad Nacional Mayor de San Marcos. Lima, Perú. médico infectólogo

DOI:

https://doi.org/10.17843/rpmesp.2016.334.2570

Keywords:

Erucism, Lonomia spp., disseminated intravascular coagulation, coagulation disorder.

Abstract

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.

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Published

2016-12-13

Issue

Section

Case Report

How to Cite

1.
Peña-Vásquez W, Vásquez-Paz H, Vásquez-Becerra R, Chiappe-Gonzalez A, Ñavincopa-Flores M, Ticona-Chávez E. Hemorrhagic erucism due to Lonomia spp. in a girl: a case report. Rev Peru Med Exp Salud Publica [Internet]. 2016 Dec. 13 [cited 2024 Apr. 17];33(4):819-23. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2570

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