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Revista Científica de la Sociedad Española de Enfermería Neurológica (English ed.)
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DOI: 10.1016/j.sedeng.2019.10.004
Systemic loxoscelism in an epileptic patient. Case report
Loxoscelismo sistémico en un paciente epiléptico. Reporte de caso
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Rafael Pichardo-Rodrigueza, J. Antonio Grandez-Urbinab,
Corresponding author
jagrandez@gmail.com

Corresponding author.
, Saarah Zegarra del Rosario-Alvaradoa, Victor A. del Carpio-Yañeza, Marcos Saavedra-Velascoa, Herney Andrés Garcia-Perdomoc
a Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Universidad Ricardo Palma, Lima, Peru
b Universidad Continental, Lima, Peru
c Escuela de Medicina, Universidad del Valle, Cali, Colombia
Received 07 May 2019. Accepted 28 October 2019
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Abstract
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Table 1. Laboratory test findings.
Abstract

Loxoscelism is the clinical problem produced by the bite of a spider of the genus Loxosceles. The most severe presentation is systemic loxoscelism that can compromise the patient's life if it is not diagnosed and treated in time. There are no reports about how it presents in patients with an epilepsy diagnosis. We present the case of a 28-year-old male patient, with a prior history of epilepsy in treatment with anticonvulsants. He developed systemic loxoscelism after a spider bite in the posterior middle third of the right arm. However, the patient did not develop seizures despite the unfavourable course of his clinical symptoms.

Keywords:
MeSH
Spider venom
Epilepsy
Brown recluse spider
Resumen

El loxoscelismo es el cuadro clínico producido por la picadura de una araña del género Loxosceles. Tiene 2 presentaciones clínicas, siendo el loxoscelismo sistémico el cuadro más grave, que puede comprometer la vida del paciente si no es diagnosticada y tratada a tiempo. No existen reportes acerca de su presentación en pacientes con diagnóstico de epilepsia. Presentamos el caso de un paciente varón de 28 años, con historia previa de epilepsia en tratamiento con anticonvulsivantes que desarrolló loxoscelismo sistémico posterior a la picadura de una araña en el tercio medio posterior del brazo derecho. El paciente no desarrolló convulsiones pese al curso desfavorable del cuadro clínico.

Palabras clave:
DeCS-BIREME
Veneno de araña
Epilepsia
Araña reclusa parda

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