<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-0839</journal-id>
<journal-title><![CDATA[Universitas Medica]]></journal-title>
<abbrev-journal-title><![CDATA[Univ. Med.]]></abbrev-journal-title>
<issn>2011-0839</issn>
<publisher>
<publisher-name><![CDATA[Pontificia Universidad Javeriana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-08392020000200008</article-id>
<article-id pub-id-type="doi">10.11144/javeriana.umed61-2.lono</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Acute Kidney Injury Secondary to Lonomia envenomation. Case Report and Literature Review]]></article-title>
<article-title xml:lang="es"><![CDATA[Lesión renal aguda secundaria al envenenamiento de Lonomia. Informe de casos y revisión de literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arsanios]]></surname>
<given-names><![CDATA[Daniel Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintero Muñoz]]></surname>
<given-names><![CDATA[Elías Josué]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santoyo Sarmiento]]></surname>
<given-names><![CDATA[Nicolás David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arteaga]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olaya]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perilla Rodríguez]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Batidas Goyes]]></surname>
<given-names><![CDATA[Alirio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,La Sabana University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,La Sabana University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,El Bosque University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,La Sabana University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,La Sabana University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Cooperativa de Colombia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,La Sabana University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>61</volume>
<numero>2</numero>
<fpage>72</fpage>
<lpage>85</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-08392020000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-08392020000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-08392020000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The envenomation by Lonomia species mainly occur in rural areas. The main symptom of this condition is an alteration in the clotting times and hemorrhage. However, acute kidney injury is been also identified in some case reports. Therefore, it should not be disregarded and to understand the pathophysiological mechanism, diagnosis and treatment of this clinical feature results necessary in order to expand awareness and to prevent further medical complications and death.  Materials and Methods: We present a case report and scoping review of the literature to characterize patients with acute kidney injury secondary to Lonomia envenomation by a case report and describing the pathophysiology, diagnosis, treatment and prognosis of patients suffering from this condition. The information was obtained from 4 databases: Medline, Embase, LILACs and Ovid. We used the following search strategy: (((&#8220;Acute Kidney Injury&#8221; [Mesh]) AND &#8220;lonofibrase&#8221; [Supplementary Concept]) OR lonomy accident) OR lonomia.  Results: We identified ten case reports of Lonomia spp. Envenomation, nine of them were caused by L. obliqua and one by L. achelous. A cohort study that included 37 patients who were exposed to the L. obliqua venom was also included. All patients were adults, lived in the countryside and developed acute kidney injury.  Conclusions: Acute kidney injury has been identified as one important clinical feature of the Lonomia envenomation. The development of this condition is mediated by various pathophysiological mechanisms. To perform an adequate diagnosis, coagulation times, fibrinogen levels, hemogram, kidney function and urinalysis should be done. The definitive treatment depends on the type of envenomation. The prognosis for these patients is not well described yet. However, our patient had a good response to the described management given.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El envenenamiento por Lonomia se produce principalmente en las zonas rurales. El síntoma principal de esta afección es hemorragia y una alteración en los tiempos de coagulación. Sin embargo, la lesión renal aguda también se ha identificado en algunos informes de casos. Por lo tanto, no debe ser ignorado y para entender el mecanismo fisiopatológico, diagnóstico y tratamiento de esta característica clínica resulta necesario ampliar el conocimiento y prevenir las complicaciones médicas.  Materiales y métodos: Presentamos un informe de caso y una revisión de la literatura para caracterizar los pacientes con lesión renal aguda secundaria al envenenamiento por Lonomia por medio de la descripción de la fisiopatología, diagnóstico, tratamiento y pronóstico de pacientes que sufren de esta afección. La información se obtuvo de 4 bases de datos: Medline, Embase, LILACs y Ovid. Usamos la siguiente estrategia de búsqueda: ((("Lesión renal aguda" [Malla]) Y "lonofibrase" [Concepto suplementario]) O accidente lonómico) O accidente por lonomia.  Resultados: Identificamos diez informes de casos de envenenamiento por Lonomia spp., nueve de ellos fueron causados por L. obliqua y uno por L. achelous. También se incluyó un estudio de cohorte que incluyó a 37 pacientes que estuvieron expuestos al veneno de L. obliqua. Todos los pacientes eran adultos, vivían en el campo y desarrollaban lesión renal aguda.  Conclusiones: La lesión renal aguda se ha identificado como una característica clínica importante del envenenamiento por Lonomia. El desarrollo de esta está mediado por varios mecanismos fisiopatológicos. Para realizar un diagnóstico adecuado, se deben realizar tiempos de coagulación, niveles de fibrinógeno, hemograma, función renal y análisis de orina. El tratamiento definitivo depende del tipo de envenenamiento. El pronóstico para estos pacientes aún no está bien descrito. Sin embargo, nuestro paciente tuvo una adecuada respuesta.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Lonomia obliqua]]></kwd>
<kwd lng="en"><![CDATA[caterpillar]]></kwd>
<kwd lng="en"><![CDATA[acute kidney injury]]></kwd>
<kwd lng="en"><![CDATA[poisoning]]></kwd>
<kwd lng="es"><![CDATA[Lonomia obliqua]]></kwd>
<kwd lng="es"><![CDATA[Caterpillar]]></kwd>
<kwd lng="es"><![CDATA[Lesión renal aguda]]></kwd>
<kwd lng="es"><![CDATA[Envenenamiento]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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