Acute kidney injury due to systemic Loxoscelism: a cross-sectional study in Northeast Brazil

• Published in: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Polianna Lemos Moura Moreira Albuquerque, Louise Donadello Tessarolo, Fernanda Holanda Menezes, Thayanne Barreto de Lima, José Hícaro Hellano Gonçalves Lima Paiva, Geraldo Bezerra da Silva Júnior, Alice Maria Costa Martins, Elizabeth de Francesco Daher
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT)
• Subjects: Loxoscelism; AKI; Spider bites; Coagulation abnormalities; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1590/0037-8682-0465-2017; https://doaj.org/article/f84c800bf03149e0a0d8017f0c3700e9

Abstract INTRODUCTION: Loxoscelism is a clinical condition involving spiders of the genus Loxosceles. One of the most severe complications is acute kidney injury (AKI). This study aimed to investigate AKI and other complications associated with loxoscelism. METHODS: We analyzed cases diagnosed with loxoscelism in an area where most accidents were caused by Loxosceles amazonica from January 2010 to December 2015. AKI was defined according to the KDIGO criteria. RESULTS: Forty-five patients were recorded: 95.6% presented characteristic necrotic skin lesions and 13.3% AKI. CONCLUSIONS: Loxoscelism could cause kidney involvement which is uncommon and could lead to the death of these patients.