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Lonomia obliqua Walker (Lepidoptera: Saturniidae): hemostasis implications
Silviane Maggi1, Gustavo Adolpho Moreira Faulhaber2
1Universidade Feevale, Caxias do Sul, RS, Brazil.
Revista Da Associacao Medica Brasileira (1992)
|August 7, 2015
Summary
Accidents caused by Lonomia obliqua caterpillars in Brazil can lead to severe health issues, including bleeding and kidney failure. Early diagnosis and treatment with antivenom are crucial for patient survival.
Area of Science:
- Toxicology
- Entomology
- Clinical Medicine
Background:
- Lonomia obliqua caterpillars in southern Brazil cause envenomation through skin contact.
- Their gregarious behavior and daytime congregation on tree trunks increase accident risk.
- The caterpillar's venom contains proteins that disrupt hemostasis.
Purpose of the Study:
- To describe the clinical manifestations and diagnosis of Lonomia obliqua envenomation.
- To highlight the importance of prompt medical intervention.
Main Methods:
- Diagnosis relies on medical history, clinical signs, erythrocyte counts, and coagulation parameters.
- No specific laboratory diagnostic tests were previously described.
Main Results:
- Envenomation can cause hemorrhagic syndrome, consumption coagulopathy, intravascular hemolysis, and acute renal failure.
- Poisoning can be severe and potentially fatal.
Conclusions:
- Early diagnosis based on clinical and coagulation data is essential.
- Treatment involves supportive care and specific hyperimmune antivenom administration.
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