<?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>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602021000200019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Loxoscelismo cutáneo-visceral en una zona rural con desenlace favorable]]></article-title>
<article-title xml:lang="en"><![CDATA[Viscerocutaneous loxoscelism with a favorable outcome in a rural area]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Herrera]]></surname>
<given-names><![CDATA[Natalia Gladys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saavedra-Velasco]]></surname>
<given-names><![CDATA[Marcos José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud  ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Privada Norbert Wiener  ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>73</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602021000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602021000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602021000200019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN En el Perú los accidentes por mordedura de araña representan un problema de salud colectiva; de estos, el producido por la araña Loxosceles ha sido causa de numerosas muertes sobre todo en la costa. Esta tiende a ocasionar, ya sea una lesión cutánea o un cuadro sistémico, que puede llevar a la muerte del individuo si no es tratado a tiempo. Hasta la fecha no se cuenta con un protocolo de diagnóstico, predicción ni manejo a nivel internacional, por lo que se utilizan opciones terapéuticas sin respaldo de evidencia. Sin embargo, el manejo de soporte oportuno y adecuado es crucial para los cuadros severos. Se presenta el caso inusual de un loxoscelismo cutáneo-visceral o también llamado sistémico ocurrido en una zona rural. Hubo un compromiso renal severo que requirió hemodiálisis con un desenlace favorable a pesar del no uso de suero antiloxoscélico, lo que evidencia la importancia del manejo oportuno con las medidas de soporte adecuadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Accidents caused by spider bites are a public health problem in Peru. Of these, those related to Loxosceles spider bites have been the cause of numerous deaths, mainly on the coast. These bites generally result in a cutaneous lesion or systemic involvement, which may threaten the person's life if not treated timely. An international protocol is not yet available for the diagnosis, prediction or management of Loxosceles spider bites. Therefore, therapeutic options are applied which are not supported by evidence. Still, timely and appropriate support management is crucial in severe cases. An unusual case of viscerocutaneous loxoscelism is presented, also known as systemic loxoscelism, which occurred in a rural area. The case was characterized by severe renal involvement requiring hemodialysis, but its outcome was favorable, despite not using antiloxoscelic serum, which shows the importance of timely management based on appropriate support measures.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[loxoscelismo cutáneo-visceral]]></kwd>
<kwd lng="es"><![CDATA[esfingomielinasa]]></kwd>
<kwd lng="es"><![CDATA[hialuronidasa]]></kwd>
<kwd lng="en"><![CDATA[viscerocutaneous loxoscelism]]></kwd>
<kwd lng="en"><![CDATA[sphingomyelinase]]></kwd>
<kwd lng="en"><![CDATA[hyaluronidase]]></kwd>
</kwd-group>
</article-meta>
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