AJTMH Transactions of the Royal Society of Tropical Medicine and Hygiene
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Am. J. Trop. Med. Hyg., 74(5), 2006, pp. 807-809
Copyright © 2006 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


A CASE OF HEMOLYSIS RESULTING FROM CONTACT WITH A LONOMIA CATERPILLAR IN SOUTHERN BRAZIL

CEILA M. S. MALAQUE*, LÚCIA ANDRADE, GERALDINE MADALOSSO, SANDRA TOMY, FLÁVIO L. TAVARES, AND ANTONIO C. SEGURO
Intensive Care Unit, Emílio Ribas Institute of Infectology, São Paulo, Brazil; Butantan Institute, São Paulo, Brazil; Department of Nephrology, Laboratory of Basic Research, University of São Paulo School of Medicine, São Paulo, Brazil

 

ABSTRACT

Contact with a caterpillar of the genus Lonomia can result in a hemorrhagic syndrome. Lonomia obliqua venom activates prothrombin and factor X and promotes fibrinogenolytic activity. Although crude L. obliqua bristle extract can induce hemolytic activity in human and rat erythrocytes, there have been no reports of hemolysis in the cases of human contact. We report a confirmed human case of Lonomia venom-induced hemolysis.

Received September 6, 2005. Accepted for publication December 15, 2005.

Acknowledgments: We thank the intensive care staff at Emílio Ribas Institute of Infectology for excellent assistance and patient care. We also thank Jefferson Davis Boyles for correcting the English and style of the manuscript.

* Address correspondence to Ceila M. S. Malaque, Instituro Butantan, Hospital Vital Brazil, Av. Vital Brazil 1500, Sao Paulo, SP, Brazil, 05503-900. E-mail: cmalaque{at}uol.com.br

Author’s addresses: Ceila M. S. Malaque and Geraldine Madalosso, Instituto Butantan, Hospital Vital Brazil, Av. Vital Brazil 1500, Sao Paulo, SP, Brazil, 05503-900, Telephone: 55-11-3726-7962, E-mail: cmalaque{at}uol.com.br. Lúcia Andrade and Antonio C. Seguro, Disciplina de Nefrologia, Faculdade de Medicina da Universidade de Sao Paulo, Av. Dr. Arnaldo, 455, Terceiro Andar, Sala 3310, Sao Paulo, Brazil, 01246-903, Telephone: 55-11-3066-7281, Fax: 55-11-3088-2267. Sandra Tomy and Flávio L. Tavares, Laboratório de Fisiopatologia, Instituto Butantan, Av. Vital Brazil 1500, Sao Paulo, SP, Brazil, 05503-900, Telephone: 55-11-3726-7222 extension 2163.

Reprint requests: Ceila M. S. Malaque, Instituto Butantan, Hospital Vital Brazil, Av. Vital Brazil 1500, Sao Paulo, SP, Brazil, 05503-900.




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