Mild lonomic accident attributed to the caterpillar of the lonomia obliqua species in the department of Santander, Colombia, 2021
Autor: John William Waterhouse  Adonis era un joven de extraordinaria belleza, el favorito de la diosa Afrodita. Un día, cazando, un jabalí hirió de muerte al hermoso Adonis. Afrodita se pincha con una espina y  su sangre de diosa se mezcla con sus lágrimas divinas, devolviéndole la vida al joven.
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Keywords

Lepidoptera
Arthropod Venoms
Biological Toxins
Fibrinolysis

How to Cite

Villabona Rosales, S. A., Amaya Muñoz, M. C., Rodriguez Vega, K. A., Amaya Muñoz, M. J. ., & Acero Gomez, J. A. (2022). Mild lonomic accident attributed to the caterpillar of the lonomia obliqua species in the department of Santander, Colombia, 2021. Médicas UIS, 35(3), 55–62. https://doi.org/10.18273/revmed.v35n3-2022006

Abstract

Caterpillars of the genus Lonomia, of the order Lepidoptera, family Saturnidae are of medical interest in South America for being the cause of lonomism, poisoning that is increasing more and more in Colombia, with mortality rates of 2.5%, the severity is variable and they are not mandatory notification, which leads to an underreporting of these events. We present the case of a young adult woman, who went to the emergency room due to the bite of 20 Lonomia caterpillars in thepalm of her left hand, generating local  inflammatory signs, pain and limitation of hand mobility. She was hospitalized for 3 days, classified as mild and treated with analgesia and intravenous antihistamine; which achieved favorable evolution. Therefore, it was concluded that Lonomia caterpillar poisoning is an emergency, which can be fatal. It is important that these events are known in the literature for their proper approach.

https://doi.org/10.18273/revmed.v35n3-2022006
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References

Gómez J. Lepidopterismo y erucismo en Colombia. Biosalud.2014;13(2):59-83.

Melo M, Couto E, Gritti M, Casafús M, Bittencourt A, Peichoto M .Caracterización clínica y epidemiológica de los accidentes con lonomia en Misiones (Argentina). Póster presentado en: 2° Simposio Latinoamericano de Biociencias; 2019 Sept 30 - Oct 4; Paraná; Brasil.

Díaz-Moscoso D. Estudio de la composición proteica del veneno de orugas de la especie Lonomia descimoni [tesis].Bogotá:Universidad de los Andes;2020.

Ávila A, Moreno A, Garzón A, Gómez A.. Accidente lonómico. Acta Med Colomb. 2013;38(2):95–100.

Encolombia [Internet]. Colombia: Encolombia; 1998-2022. Accidente por Lepidópteros; 2020 Mar 31 [Citado 2021 May 2]. Disponible en: https://encolombia.com/medicina/guiasmed/emergencias-toxicologicas/accidente-lepidopteros/.

Universidad de los Andes Colombia [Internet]. Bogotá D.C: Universidad de los Andes; 2018. Orugas venenosas, un problema de salud pública; 2018 Abr 06. [citado 2021 oct 1]; Disponible en: https://uniandes.edu.co/es/noticias/orugas-venenosas-un-problema-de-salud-publica#:~:text=El%20contacto%20con%20estas%20larvas,y%20hemorragias%2C%20entre%20otros%20s%C3%ADntomas.

Animales ponzoñosos en Latinoamérica. Biomédica [Internet]. 2010 [citado 201 May 2]; 30(1): Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-41572010000100001.

Pineda D, Amarillo A, Becerra J, Montenegro G. Síndrome hemorrágico por contacto con orugas del género Lonomia (Saturniidae) en Casanare, Colombia: informe de dos casos. Biomédica.2001;21(4):328-332.

Lisete M, Corseuil EÉ.Aspectos Morfológicos de Lonomia obliqua Walker (Lepidoptera: Saturniidae). Neotrop. Entomol. 2001;30(3):373-379.

Veiga ABG, Blochtein B, Guimarães JA. Structures involved in production, secretion and injection of the venom produced by the caterpillar Lonomia obliqua (Lepidoptera, Saturniidae). Toxicon.2001;39(9):1343-1351.

Gamborgi GP, Metcalf EB, Barros EJ. Acute renal failure provoked by toxin from caterpillars of the species Lonomia obliqua. Toxicon. 2006;47(1):68–74.

Duarte AC, Crusius PS, Pires CA, Schilling MA, Fan HW. Intracerebral haemorrhage after contact with Lonomia caterpillars. Lancet. 1996;348(9033):1033.

Reis CV., Portaro FC, Andrade SA, Fritzen M, Fernandes BL, Sampaio CAM, et al. A prothrombin activator serine protease from the Lonomia obliqua caterpillar venom (Lopap): Biochemical characterization. Thromb Res. 2001;102(5):427–436.

Acidentes por lagartas:Ministério da Saúde;2021. 62 Villabona-Rosales SA, Amaya-Muñoz MC, Amaya-Muñoz MJ, Acero-Gomez JA, Rodríguez-Vega KA MÉD.UIS. 2022;35(3):55-62

de Roodt AR, Salomón OD, Orduna TA. Accidentes por lepidópteros con especial referencia a Lonomia sp. Medicina. 2000;60(6):964–72.

Sánchez MN, Mignone MA, Casertano SA,Cavagnaro LE, Peichoto ME. Accidentes causados por la oruga Lonomia obliqua (Walker, 1855) Un problema emergente. Medicina.2015;75(5).328-333.

Pineda-Amaya WH, Pastrana-Ricaurte N. Multiple organ failure caused by poisonous contact with a lonomia sp caterpillar. Case report. UNAL.2019;5(2):106-114.

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