Acute kidney injury and dermonecrosis after Loxosceles reclusa envenomation

A Nag; J Datta; A Das; A K Agarwal; D Sinha; S Mondal; T Ete; A Chakraborty; S Ghosh

doi:10.4103/0971-4065.133017

Acute kidney injury and dermonecrosis after Loxosceles reclusa envenomation

Indian J Nephrol. 2014 Jul;24(4):246-8. doi: 10.4103/0971-4065.133017.

Authors

A Nag¹, J Datta¹, A Das¹, A K Agarwal¹, D Sinha¹, S Mondal¹, T Ete¹, A Chakraborty¹, S Ghosh¹

Affiliation

¹ Department of Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.

Abstract

Spiders of the Loxosceles species can cause dermonecrosis and acute kidney injury (AKI). Hemolysis, rhabdomyolysis and direct toxin-mediated renal damage have been postulated. There are very few reports of Loxoscelism from India. We report a case of AKI, hemolysis and a "gravitational" pattern of ulceration following the bite of the brown recluse spider (Loxosceles spp).

Keywords: Dermonecrosis; renal failure; spider bite.

Publication types

Case Reports