Cutaneous Loxoscelism in a Paediatric Patient: A Case Presentation
Amezola Herrera Eduardo
Guanajuato University (UG). General Zone Hospital at Irapuato, Guanajuato, Mexico (HGZ/MF No 2), Mexican Institute of Social Security (IMSS), Mexico.
Reyes Berlanga Mónica Lucía *
National Autonomous University of Mexico (UNAM), Guanajuato University (UG). Pediatrician at General Zone Hospital at Irapuato, Guanajuato, Mexico (HGZ/MF No 2), Mexican Institute of Social Security (IMSS), Mexico.
Venegas Mojica Cristian Israel
Guadalajara University (UG), Guanajuato University (UG), Pediatrician at General Zone Hospital at Irapuato, Guanajuato, Mexico (HGZ/MF No 2), Mexican Institute of Social Security (IMSS), Mexico.
Pérez Sandoval Raúl
National Polytechnic Institute (IPN), Autonomous Mexico State University (UAEM), National Autonomous University of Mexico (UNAM), Pediatrician at General Zone Hospital at Irapuato, Guanajuato, México (HGZ/MF No 2), Mexican Institute of Social Security (IMSS), Mexico.
Sánchez Villegas María del Carmen Socorro
Clinical Department of Toxicology La Raza National Medical Center, Mexican Institute of Social Security (IMSS), Autonomous University of Hidalgo (UAH), National Autonomous University of Mexico (UNAM), Mexico and Toxicology Master in Sevilla University, Spain (SU).
*Author to whom correspondence should be addressed.
Abstract
Introduction: We present the case of a 5-year-old schoolboy with a cutaneous loxoscelism. Loxoscelism is defined as the clinical picture of poisoning after the bite of a spider of the genus Loxosceles. There are two well-defined medical variants: cutaneous and systemic loxoscelism, both of which are of great medical interest because of the clinical manifestations triggered by the potential cytotoxic poison of the loxosceles spider.
Objectives: The aim of this publication is to report a clinical case of cutaneous loxoscelism in a pediatric patient, accompanied by an extensive review of the subject to explain its characteristics. clinical aspects, appropriate management, expected evolution, as well as its prognosis.
Conclusions: Cutaneous loxoscelism should be suspected when there is evidence of a dermonecrotic lesion or, when photographic or in-person evidence of the spider is shown.
Keywords: Paediatric patient, cutaneous loxoscelism, swollen