Loxoscelismo y latrodectismo en una paciente: Caso clínico

We report a 51 years old, woman, who live in a rural zone of Llolleo, San Antonio, V Región of Chile. Her dewelling is near a wheat ground sown. In november 1999 during the cleaning of her house she felt a "bug" in her head, but did not find it. She started immediatly with itching, hypoest...

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Autores principales:	REYES,PABLO, BOZAN,FRANCISCA, BENAVENTE,RICARDO, APT,WERNER, ZULANTAY,INES
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Chilena de Parasitología 2002
Materias:	Loxoscelism latrodectism spiders symptoms
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-77122002000300013
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spelling	oai:scielo:S0717-771220020003000132003-02-06Loxoscelismo y latrodectismo en una paciente: Caso clínicoREYES,PABLOBOZAN,FRANCISCABENAVENTE,RICARDOAPT,WERNERZULANTAY,INES Loxoscelism latrodectism spiders symptoms We report a 51 years old, woman, who live in a rural zone of Llolleo, San Antonio, V Región of Chile. Her dewelling is near a wheat ground sown. In november 1999 during the cleaning of her house she felt a "bug" in her head, but did not find it. She started immediatly with itching, hypoesthesia of arms and legs, dispnea, thoracic pain, vomiting, 40ºC fever, myalgias in right arm, thorax, and hypogastric zone, trembling, plantiful sweating, and rapidly lost consciousness. She recovered consciousness 1 hour later and asked for help. A neighbour saw and captured a spider going out of her clothes. She was taken to the emergency room, where she received sera and oxigen, and was discharged two days later with a prescription of antihistaminics, glucosteroids, a muscle relaxing agend and diuretics. During six months se was controled in the out patient clinic of the hospital. The spider was identified by entomologist as Latrodectus mactans. In june 2002 when she was sleeping, felt a wounding lancet pain in the middle finger of the right hand. Afterwards a black plate with yellow vesicles in his center appeared in that same zone. The right arm become edematous and paresthetic; the patient complained of an important asthenia. She was hospitalized receiving intravenous steroids. In this ocassion the patients couldn´t keep the spider, but when she describes it to the entomologist of the National Science and Arqueological Museum of San Antonio, the specimen was identified as an exemplar of Loxosceles laeta. Latrodectism is usually a day out door accident, during agricultural activities. Loxoscelism is in general a night in door accident. In this excepcional case the patient lives near a wheat ground sown and the absence of routinary cleaning of her dewelling, could explain both accidents. We could´nt find publications of accidents of both spiders affecting the same person. For this reason we consider important to comunicate this caseinfo:eu-repo/semantics/openAccessSociedad Chilena de ParasitologíaParasitología latinoamericana v.57 n.3-4 20022002-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-77122002000300013es10.4067/S0717-77122002000300013
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Loxoscelism latrodectism spiders symptoms
spellingShingle	Loxoscelism latrodectism spiders symptoms REYES,PABLO BOZAN,FRANCISCA BENAVENTE,RICARDO APT,WERNER ZULANTAY,INES Loxoscelismo y latrodectismo en una paciente: Caso clínico
description	We report a 51 years old, woman, who live in a rural zone of Llolleo, San Antonio, V Región of Chile. Her dewelling is near a wheat ground sown. In november 1999 during the cleaning of her house she felt a "bug" in her head, but did not find it. She started immediatly with itching, hypoesthesia of arms and legs, dispnea, thoracic pain, vomiting, 40ºC fever, myalgias in right arm, thorax, and hypogastric zone, trembling, plantiful sweating, and rapidly lost consciousness. She recovered consciousness 1 hour later and asked for help. A neighbour saw and captured a spider going out of her clothes. She was taken to the emergency room, where she received sera and oxigen, and was discharged two days later with a prescription of antihistaminics, glucosteroids, a muscle relaxing agend and diuretics. During six months se was controled in the out patient clinic of the hospital. The spider was identified by entomologist as Latrodectus mactans. In june 2002 when she was sleeping, felt a wounding lancet pain in the middle finger of the right hand. Afterwards a black plate with yellow vesicles in his center appeared in that same zone. The right arm become edematous and paresthetic; the patient complained of an important asthenia. She was hospitalized receiving intravenous steroids. In this ocassion the patients couldn´t keep the spider, but when she describes it to the entomologist of the National Science and Arqueological Museum of San Antonio, the specimen was identified as an exemplar of Loxosceles laeta. Latrodectism is usually a day out door accident, during agricultural activities. Loxoscelism is in general a night in door accident. In this excepcional case the patient lives near a wheat ground sown and the absence of routinary cleaning of her dewelling, could explain both accidents. We could´nt find publications of accidents of both spiders affecting the same person. For this reason we consider important to comunicate this case
author	REYES,PABLO BOZAN,FRANCISCA BENAVENTE,RICARDO APT,WERNER ZULANTAY,INES
author_facet	REYES,PABLO BOZAN,FRANCISCA BENAVENTE,RICARDO APT,WERNER ZULANTAY,INES
author_sort	REYES,PABLO
title	Loxoscelismo y latrodectismo en una paciente: Caso clínico
title_short	Loxoscelismo y latrodectismo en una paciente: Caso clínico
title_full	Loxoscelismo y latrodectismo en una paciente: Caso clínico
title_fullStr	Loxoscelismo y latrodectismo en una paciente: Caso clínico
title_full_unstemmed	Loxoscelismo y latrodectismo en una paciente: Caso clínico
title_sort	loxoscelismo y latrodectismo en una paciente: caso clínico
publisher	Sociedad Chilena de Parasitología
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-77122002000300013
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Loxoscelismo y latrodectismo en una paciente: Caso clínico

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