Bothrops atrox Snakebite: How a Bad Decision May Lead to a Chronic Disability: A Case Report.

Autor: Sachett JAG; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil. Electronic address: jac.sachett@gmail.com., Val FF; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil., Alcântara JA; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil., Cubas-Vega N; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil., Montenegro CS; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil., da Silva IM; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil., de Souza TG; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil., Santana MF; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil., Ferreira LCL; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil; Universidade Federal do Amazonas, Manaus, Amazonas, Brazil., Monteiro WM; Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Amazonas, Brazil.
Jazyk: angličtina
Zdroj: Wilderness & environmental medicine [Wilderness Environ Med] 2020 Sep; Vol. 31 (3), pp. 317-323. Date of Electronic Publication: 2020 May 24.
DOI: 10.1016/j.wem.2020.03.001
Abstrakt: Snakebites are a neglected and underestimated global health hazard. In the Brazilian Amazon, Bothrops snakebites are the most prevalent and may lead to severe complications. Here we describe a severe case of Bothrops atrox snakebite that, owing to delayed medical assistance, presented with renal and respiratory failure, compartment syndrome, and tissue necrosis. After several fasciotomy surgeries, the patient survived; however, he showed significant functional disability. Prompt management of snake envenomation would aid in the early diagnosis of local and systemic complications and, consequently, would result in a better functional outcome with improved quality of life.
(Copyright © 2020 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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