The Journal of venomous animals and toxins including tropical diseases · 2006 · 20 citations · 26 references
MedicineHematologyPharmacologyClinical PharmacologyHemostasisToxicologic PathologyCoagulation CascadeCoagulation DisordersDisseminated Intravascular CoagulationFibrin FormationThrombin GenerationThrombosisAnimal EnvenomationCoagulation DysregulationHemorrhagic ManifestationsHemorrhagic PresentationProthrombin Activation
Lonomia obliqua caterpillar is frequently seen in accidents with humans especially in the south of Brazil. Patients develop a hemorrhagic syndrome that can be treated with specific antilonomic serum. A consumptive coagulopathy was found to be the main cause of bleeding complications observed in patients after contact with L. obliqua. Studies revealed that L. obliqua caterpillar bristle extract (LOCBE) displays a procoagulant activity that leads to intravascular thrombin formation, resulting in a special form of disseminated intravascular coagulation (DIC). Fibrinolysis seems to be secondary to the fibrin production, since no direct fibrinolytic activity was found in LOCBE. Two procoagulant toxins, a factor X activator (Losac) and a prothrombin activator (Lopap), were isolated from LOCBE and characterized. Infusion of Lopap into experimental animals triggered a condition similar to that observed in human envenomation.
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Disseminated intravascular coagulation. Findings in 346 patients.
Joel A. Spero, Jessica H. Lewis, Ute Hasiba · PubMed · 1980 · 215 citations
Medicine, Hematology, Hemostasis +14
FB Jr Taylor · Thrombosis and Haemostasis · 2001 · 175 citations
Ana Beatriz Gorini da Veiga, José M. C. Ribeiro, Jorge A. Guimarães et al. · Gene · 2005 · 101 citations