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Acute kidney injury due to systemic Loxoscelism: a cross-sectional study in Northeast Brazil
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posted on 2018-10-10, 02:56 authored by 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 DaherAbstract 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.
