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NDT Plus Advance Access originally published online on August 29, 2008
NDT Plus 2008 1(6):445-446; doi:10.1093/ndtplus/sfn138
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Acute renal failure and haemorrhagic syndrome secondary to toxin of caterpillars (Lonomia obliqua)

Miguel C. Riella1,2, Domingos Chula2, Sarah de Freitas3, Marcelo M. Mazza2 and Maria A. Pachaly2

1 Department of Medicine, Universidade Católica do Paraná Curitiba
2 Division of Nephrology, Hospital Universitário Evangélico de Curitiba, Brazil
3 Renal Physician at Guys and St. Thomas Hospital, London, UK

Correspondence: Correspondence and offprint requests to: Miguel C. Riella, Department of Medicine, Catholic University of Parana, Rua Bruno Filgueira 369, Curitiba 80240-220, Brazil. Tel: +55-41-3342-5849; Fax: 55-41-3244-5539; E-mail: mcriella@pro-renal.org.br

Key Words: acute kidney injury • caterpillar • haemorrhagic syndrome • Lonomia

Received for publication June 18, 2008. Accepted for publication August 4, 2008.

The first 10% of the full text of this article appears below.


   Introduction
 
Accidental poisoning with caterpillars has become increasingly frequent in southern Brazil, partly due to deforestation and elimination of natural predators [1]. Caterpillars are the larval stage of moths and butterflies and are found worldwide [2]. Accidental contact with caterpillar's bristles induces allergic and toxic signs and symptoms that range from mild cutaneous reaction to severe systemic reactions, depending mainly on the number and species of the caterpillar involved. Symptoms include local irritation, urticarial dermatitis, allergy, ocular injuries, osteochondritis, haemorrhage secondary coagulopathy and acute renal failure. Haemorrhagic . . . [Full Text of this Article]


   Case report
 

   Discussion
 

   Teaching points
 

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