Viscerocutaneous Loxoscelism in an Adult with Acute Generalized Exanthematous Pustulosis

This case describes an unusual presentation of a woman with viscerocutaneous (VCT) loxoscelism and exanthematous pustulosis. Due to a complex presentation resembling sepsis and errant information, she was unnecessarily treated with multiple antibiotics and intravenous immunoglobulin (IVIG) which may...

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Bibliographic Details
Published in:Missouri medicine 2014-03, Vol.111 (2), p.139-142
Main Authors: Mueller, Mark, Doucette, Emily, Freeman, Seth, Williams, Amy, Lindbloom, Erik
Format: Article
Language:English
Subjects:
Science of Medicine
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Summary:This case describes an unusual presentation of a woman with viscerocutaneous (VCT) loxoscelism and exanthematous pustulosis. Due to a complex presentation resembling sepsis and errant information, she was unnecessarily treated with multiple antibiotics and intravenous immunoglobulin (IVIG) which may have complicated her course. Given recent reports of quick progression and death from a similar presentation, it is imperative that clinicians be familiar with signs, symptoms and complications of VCT loxoscelism, which can include hemolysis and acute exanthematous pustulosis.
ISSN:0026-6620