Ospedal Katia Zoghbi, Appel Marcia Helena, Fillus Neto José, Mangili Oldemir Carlos, Sanches Veiga Silvio, Gremski Waldemiro
Department of Cell Biology, Federal University of Parana, Jardim das Américas, 81531-990 Curitiba, Parana, Brazil.
Int J Exp Pathol. 2002 Dec;83(6):287-94. doi: 10.1046/j.1365-2613.2002.00241.x.
Loxoscelism, the term used to describe envenomation with brown spiders, is characterized by a dermonecrotic lesion at the bite site. In the present investigation we submitted albino rabbits to an acute experimental envenomation protocol using Loxosceles intermedia (brown spider) venom, with in order to determine the pathogenesic features of the lesion induced by this spider, which is the cause of several accidents throughout the world. Rabbits received intradermal injections of the venom and were monitored over the first 4 h, and then at 12 h and 1, 2 and 5 days after envenomation. Histological specimens from 3 rabbits per time point were collected from euthanized animals and processed for histological examination by light microscopy. Major findings observed during the first 4 h were oedema, haemorrhage, degeneration of blood vessel walls, plasma exudation, thrombosis, neutrophil accumulation in and around blood vessels with an intensive diapedesis, a diffuse collection of inflammatory cells (polymorphonuclear leucocytes) in the dermis, and subcutaneous muscular oedema. Over the following hours and up to 5 days after envenomation the changes progressed to massive neutrophil infiltration (with no other leucocytes) into the dermis and even into subcutaneous muscle tissue, destruction of blood vessels, thrombosis, haemorrhage, myonecrosis, and coagulative necrosis on the 5th day.
褐蛛中毒是用于描述被褐蛛毒液蜇伤的术语,其特征是在叮咬部位出现皮肤坏死性病变。在本研究中,我们使用间斑寇蛛(褐蛛)毒液对白化兔进行急性实验性中毒方案,以确定这种在世界各地引发多起事故的蜘蛛所导致病变的致病特征。兔子接受皮内注射毒液,并在最初4小时内进行监测,然后在中毒后12小时以及1、2和5天进行监测。在每个时间点,从安乐死的动物身上采集3只兔子的组织学标本,并进行处理以通过光学显微镜进行组织学检查。在最初4小时内观察到的主要发现包括水肿、出血、血管壁变性、血浆渗出、血栓形成、血管内及血管周围中性粒细胞积聚并伴有强烈的白细胞渗出、真皮内炎症细胞(多形核白细胞)弥漫性聚集以及皮下肌肉水肿。在中毒后的接下来几个小时直至5天,这些变化发展为大量中性粒细胞(无其他白细胞)浸润至真皮甚至皮下肌肉组织、血管破坏、血栓形成、出血、肌坏死以及在第5天出现凝固性坏死。