Clinical performance of a new prediction rule of systemic loxoscellism. case report: Rendimiento clínico de una nueva regla de predicción del loxoscelismo sistémico. reporte de caso

• Autores: Pichardo Rodriguez, Rafael Martin de Jesus Pichardo, Saavedra Velazco, Marcos, Sánchez Alvarez, Cesar Enrique, Bracamonte Hernández, Juan Jesús, Aldave Visurraga, Abel, Ruiz Franco, Oscar Emilio
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Universidad Ricardo Palma
• Repositorio: Revistas - Universidad Ricardo Palma
• Lenguaje: español; inglés
• OAI Identifier: oai:oai.revistas.urp.edu.pe:article/3956
• Enlace del recurso: http://revistas.urp.edu.pe/index.php/RFMH/article/view/3956
• Nivel de acceso: acceso abierto
• Materia: Venenos de Araña; Hemólisis; Reglas de Decisión Clínica; Spider Bite; Hemolysis; Clinical Decision Rules

Systemic or cutaneous-visceral loxoscelism is the most severe clinical presentation of loxoscelism. Currently there is no validated laboratory diagnostic method that allows us to confirm the presence of this disease in the face of arachneism. However, there is a clinical prediction rule (CPR), which allows us to predict the evolution of a bite towards a systemic condition and which would be useful in emergency rooms. We present the case of a woman who developed the systemic picture of loxoscelism to whom a new CPR was applied for the early detection of systemic loxoscelism, presenting adequate performance for early evaluation in emergency services.