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Viscerocutaneous Loxoscelism in an Adult with Acute Generalized Exanthematous Pustulosis
Mark Mueller1, Emily Doucette1, Seth Freeman1
1Mark Mueller, MD, Emily Doucette, MD, Seth Freeman, MD, Amy Williams, MD, and Erik Lindbloom, MD, are with the Department of Family and Community Medicine, University of Missouri.
Abstract:
This case describes an unusual presentation of a woman with viscerocutaneous (VCT) loxoscelism and exanthematous pustulosis. Due to a complex presentation resembling sepsis and errant information, she was unnecessarily treated with multiple antibiotics and intravenous immunoglobulin (IVIG) which may have complicated her course. Given recent reports of quick progression and death from a similar presentation, it is imperative that clinicians be familiar with signs, symptoms and complications of VCT loxoscelism, which can include hemolysis and acute exanthematous pustulosis.
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