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

Acute kidney injury and dermonecrosis after Loxosceles reclusa envenomation.

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


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).


Dermonecrosis; renal failure; spider bite

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