巴西西部亚马逊地区受洛诺米毛虫毒液侵害后的严重出血综合征：还有多少病例未被发现？
Severe Hemorrhagic Syndrome After Lonomia Caterpillar Envenomation in the Western Brazilian Amazon: How Many More Cases Are There?
作者信息
Santos João Hugo A, Oliveira Sâmella S, Alves Eliane C, Mendonça-da-Silva Iran, Sachett Jacqueline A G, Tavares Antonio, Ferreira Luiz Carlos, Fan Hui Wen, Lacerda Marcus V G, Monteiro Wuelton M
机构信息
Directorate of Education and Research, Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil (Drs Santos, Mendonça-da-Silva, Tavares, Ferreira, Lacerda, and Monteiro).
School of Health Sciences, Universidade do Estado do Amazonas, Manaus, Brazil (Ms Oliveira, Alves, and Sachett, and Drs Mendonça-da-Silva and Monteiro).
出版信息
Wilderness Environ Med. 2017 Mar;28(1):46-50. doi: 10.1016/j.wem.2016.11.001. Epub 2017 Jan 10.
Contact with Lonomia caterpillars can cause a hemorrhagic syndrome. In Brazil, Lonomia obliqua and Lonomia achelous are known to cause this venom-induced disease. In the Brazilian Amazon, descriptions of this kind of envenomation are scarce. Herein, we report a severe hemorrhagic syndrome caused by Lonomia envenomation in the Amazonas state, Western Brazilian Amazon. The patient showed signs of hemorrhage lasting 8 days and required Lonomia antivenom administration, which resulted in resolution of hemorrhagic syndrome. Thus, availability of Lonomia antivenom as well as early antivenom therapy administration should be addressed across remote areas in the Amazon.
接触绒刺蛾毛虫可引发出血综合征。在巴西，已知斜纹绒刺蛾和阿奇绒刺蛾会引发这种由毒液导致的疾病。在巴西亚马逊地区，关于此类中毒的描述较为稀少。在此，我们报告了巴西西部亚马逊州阿马帕州一例由绒刺蛾毒液引发的严重出血综合征。该患者出现了持续8天的出血症状，需要注射绒刺蛾抗蛇毒血清，注射后出血综合征得到缓解。因此，亚马逊偏远地区应解决绒刺蛾抗蛇毒血清的供应问题以及尽早进行抗蛇毒血清治疗。
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