@article{ref1,
title="Severe hemorrhagic syndrome after Lonomia caterpillar envenomation in the western Brazilian Amazon: how many more cases are there?",
journal="Wilderness and environmental medicine",
year="2017",
author="Santos, João Hugo A. and Oliveira, Sâmella S. and Alves, Eliane Campos and Mendonça-da-Silva, Iran and Sachett, Jacqueline de Almeida Gonçalves and Tavares, Antonio and Ferreira, Luiz Carlos and Fan, Hui Wen and Lacerda, Marcus V. G. and Monteiro, Wuelton M.",
volume="28",
number="1",
pages="46-50",
abstract="Contact with Lonomia caterpillars can cause a hemorrhagic syndrome. In Brazil, Lonomia obliqua and Lonomia achelous are known to cause this venom-induced disease. In the Brazilian Amazon, descriptions of this kind of envenomation are scarce. Herein, we report a severe hemorrhagic syndrome caused by Lonomia envenomation in the Amazonas state, Western Brazilian Amazon. The patient showed signs of hemorrhage lasting 8 days and required Lonomia antivenom administration, which resulted in resolution of hemorrhagic syndrome. Thus, availability of Lonomia antivenom as well as early antivenom therapy administration should be addressed across remote areas in the Amazon.<br><br>Copyright © 2016 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1080-6032",
doi="10.1016/j.wem.2016.11.001",
url="http://dx.doi.org/10.1016/j.wem.2016.11.001"
}