Pediatric Cutaneous Visceral Loxocelism with Renal and Pulmonary Involvement: A Case Report

Background and Clinical Significance: This case reports a severe pediatric presentation of cutaneous–visceral loxoscelism (CVL) following a suspected Loxosceles spider bite, highlighting rare systemic complications and the need for early intensive management; Case Presentation: A previously healthy 6-year-old girl developed acute hemolysis, respiratory failure, acute kidney injury requiring renal replacement therapy, coagulopathy, and diffuse alveolar hemorrhage, necessitating management in the intensive care unit; Conclusions: Pediatric CVL can rapidly progress to life-threatening multisystem involvement; early recognition and timely multidisciplinary supportive care are essential to achieve favorable outcomes.