Journal of Clinical Case Reports

Loxoscelism: Proposal of a New Protocol for Treatment

Abstract

Davanzo F, Rebutti I, Panzavolta GF, Morina M, Fumagalli R, Scaglione F and Garuti F S

Loxoscelism is a rare but often underestimated cause of dermonecrosis in emergency departments. Different kinds of treatment are proposed in literature, but a shared management protocol is not yet available. We propose a therapeutic protocol considering a case which occurred in our emergency department, managed with the support of the Poison Control Center (PCC) and the Hyperbaric Unit. In particular, focusing on the risk of bacterial superinfection and necrotizing fasciitis, we suggest to consider the use of hyperbaric therapy.