Limits...
Acute kidney injury and dermonecrosis after Loxosceles reclusa envenomation.

Nag A, Datta J, Das A, Agarwal AK, Sinha D, Mondal S, Ete T, Chakraborty A, Ghosh S - Indian J Nephrol (2014)

Bottom Line: Spiders of the Loxosceles species can cause dermonecrosis and acute kidney injury (AKI).Hemolysis, rhabdomyolysis and direct toxin-mediated renal damage have been postulated.There are very few reports of Loxoscelism from India.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.

ABSTRACT
Spiders of the Loxosceles species can cause dermonecrosis and acute kidney injury (AKI). Hemolysis, rhabdomyolysis and direct toxin-mediated renal damage have been postulated. There are very few reports of Loxoscelism from India. We report a case of AKI, hemolysis and a "gravitational" pattern of ulceration following the bite of the brown recluse spider (Loxosceles spp).

No MeSH data available.


Related in: MedlinePlus

“Gravitational pattern” of dermonecrosis following the bite of brown recluse spider (Loxosceles spp), day 5
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4119339&req=5

Figure 1: “Gravitational pattern” of dermonecrosis following the bite of brown recluse spider (Loxosceles spp), day 5

Mentions: On arrival 5 days after the bite, he was conscious and alert. There was blackish discoloration of the right distal forearm and hands and a “gravitational” pattern of involvement from the bite site down into the hands [Figure 1]. Radial pulse was palpable and he had preserved sensation in the fingers of his right hand. He had a normal heart rate while blood pressure was 160/90 mm of Hg. Arterial Doppler of the right forearm revealed normal flow up to the radial arteries. Physical examination was normal otherwise. Though the spider was not brought, it was identified to be the brown recluse spider (Loxosceles spp) based on the description and on showing representative pictures.


Acute kidney injury and dermonecrosis after Loxosceles reclusa envenomation.

Nag A, Datta J, Das A, Agarwal AK, Sinha D, Mondal S, Ete T, Chakraborty A, Ghosh S - Indian J Nephrol (2014)

“Gravitational pattern” of dermonecrosis following the bite of brown recluse spider (Loxosceles spp), day 5
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4119339&req=5

Figure 1: “Gravitational pattern” of dermonecrosis following the bite of brown recluse spider (Loxosceles spp), day 5
Mentions: On arrival 5 days after the bite, he was conscious and alert. There was blackish discoloration of the right distal forearm and hands and a “gravitational” pattern of involvement from the bite site down into the hands [Figure 1]. Radial pulse was palpable and he had preserved sensation in the fingers of his right hand. He had a normal heart rate while blood pressure was 160/90 mm of Hg. Arterial Doppler of the right forearm revealed normal flow up to the radial arteries. Physical examination was normal otherwise. Though the spider was not brought, it was identified to be the brown recluse spider (Loxosceles spp) based on the description and on showing representative pictures.

Bottom Line: Spiders of the Loxosceles species can cause dermonecrosis and acute kidney injury (AKI).Hemolysis, rhabdomyolysis and direct toxin-mediated renal damage have been postulated.There are very few reports of Loxoscelism from India.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.

ABSTRACT
Spiders of the Loxosceles species can cause dermonecrosis and acute kidney injury (AKI). Hemolysis, rhabdomyolysis and direct toxin-mediated renal damage have been postulated. There are very few reports of Loxoscelism from India. We report a case of AKI, hemolysis and a "gravitational" pattern of ulceration following the bite of the brown recluse spider (Loxosceles spp).

No MeSH data available.


Related in: MedlinePlus