Hemostatic disorders induced by skin contact with Lonomia obliqua (Lepidoptera, Saturniidae) caterpillars
| العنوان: | Hemostatic disorders induced by skin contact with Lonomia obliqua (Lepidoptera, Saturniidae) caterpillars |
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| المؤلفون: | Alaour Candida Duarte, Elvino José Guardão Barros, Roberto H. P. Moraes, Belsy Guerrero, Carmen Luisa Arocha-Piñango, Ida S. Sano-Martins |
| المصدر: | Revista do Instituto de Medicina Tropical de São Paulo, Volume: 59, Article number: e24, Published: 20 APR 2017 Revista do Instituto de Medicina Tropical de São Paulo, Vol 59, Iss 0 Revista do Instituto de Medicina Tropical de São Paulo Revista do Instituto de Medicina Tropical de São Paulo; Vol. 59 (2017); e24 Revista do Instituto de Medicina Tropical de São Paulo; v. 59 (2017); e24 Instituto de Medicina Tropical (IMT) instacron:IMT |
| بيانات النشر: | Instituto de Medicina Tropical, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | 0301 basic medicine, Adult, Male, Antifibrinolytic, Time Factors, lcsh:Arctic medicine. Tropical medicine, medicine.drug_class, Nausea, lcsh:RC955-962, medicine.medical_treatment, Lonomia obliqua, Severity of Illness Index, 03 medical and health sciences, Coagulopathy, Lonomia obliqua caterpillar, Fibrinolysis, Severity of illness, Hemorrhagic syndrome, medicine, Animals, Humans, Child, Arthropod Venoms, Aged, Hemostatic Disorders, biology, business.industry, Antivenins, General Medicine, Middle Aged, biology.organism_classification, medicine.disease, Lepidoptera, 030104 developmental biology, Infectious Diseases, Anesthesia, Child, Preschool, Vomiting, Original Article, Female, medicine.symptom, business, Lonomia |
| الوصف: | Patients envenomed by Lonomia sp caterpillars initially experience a mild burning pain, headache, nausea, vomiting, and skin and mucosal hemorrhages. Some patients can rapidly progress to a severe coagulopathy that presents as visceral or intracerebral hemorrhaging. We studied the hemostatic alterations that occurred in 14 patients who were envenomed by Lonomia obliqua in Southern Brazil and presented at the Hospital São Vicente de Paulo (Passo Fundo, RS), Brazil during the summers of 1993 and 1994 when Lonomia antivenom was not yet available for treatment. The patients were classified into to 4 clinical groups: 0 (two patients), I (eight patients), II (two patients), and III (two patients). The patients were admitted to the hospital between 4 hours and five days after contact with the caterpillars. In this study, the coagulation parameters of the patients were followed up for up to 172 hours after the accidents. The patients received no treatment with the exceptions of two patients who received blood transfusions and antifibrinolytic treatment. The observed abnormalities related to blood coagulation and fibrinolytic factors were similar regardless of the severity of the bleeding symptoms. These findings suggest that alterations in hemostatic parameters without thrombocytopenia are not predictors of the seriousness of such accidents. Thus, consumptive disorder and reactive fibrinolysis are not proportional to mild coagulopathy. Furthermore, these patients recovered. The hemostatic parameters of most of the patients normalized between 96 and 120 h after the accident. |
| وصف الملف: | text/html; application/pdf; application/xml |
| اللغة: | English |
| تدمد: | 1678-9946 0036-4665 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::57ddb2cbb4a8ede56f8adf3fb1d394b4 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652017005000213&lng=en&tlng=en |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....57ddb2cbb4a8ede56f8adf3fb1d394b4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16789946 00364665 |
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