Loxoscelismo cutáneo: Una revisión narrativa de un problema actual
Autor
Longton, Cristóbal
Ocaranza, Nicolás
Reyes-Jaramillo, Sergio
Fecha
2012Resumen
The endemic presence of Loxosceles laeta species in Chile determinates a constant validity of loxoscelism in clinical practice. Among their clinical scope, cutaneous loxoscelism is the most common presentation and it usually requires surgical management. The objective of this article is to review basic knowledge, epidemiologic data, clinical and therapeutic knowledge and advances in this disease based on the available evidence. Evidence does not support the routinary use of any pharmacological agent in cutaneous loxoscelism. General therapeutic measures, adequate analgesia, the delimitation of the dermonecronic area and in cases id needed a conservative surgical approach are recommended. The use of antibiotics should be restricted to cases of concomitant infection. Emphasis should be on prevention of these injuries, stressing the importance of early consulation in the emergency service, and monitoring for signs and symptomsof the systemic compromise. A conservative surgical approach minimizes unnecessary morbidity.
Fuente
Revista Médica del Maule, 28(2), 82-87Colecciones
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