Multiple Mononeuropathy following Crotalid Envenomation: A case report.

Autor: Camelo-Filho AE; Universidade Federal do Ceará, Hospital Universitário Walter Cantídio, Fortaleza, CE, Brasil., Lima PLGSB; Universidade Federal do Ceará, Hospital Universitário Walter Cantídio, Fortaleza, CE, Brasil., Cavalcante FLHB; Universidade Federal do Ceará, Hospital Universitário Walter Cantídio, Fortaleza, CE, Brasil., Rodrigues PVF; Universidade Federal do Ceará, Hospital Universitário Walter Cantídio, Fortaleza, CE, Brasil., Miyajima OR; Universidade Estadual do Ceará, Centro de Ciências da Saúde, Fortaleza, CE, Brasil., Braga-Neto P; Universidade Federal do Ceará, Hospital Universitário Walter Cantídio, Fortaleza, CE, Brasil.; Universidade Estadual do Ceará, Centro de Ciências da Saúde, Fortaleza, CE, Brasil., Nóbrega PR; Universidade Federal do Ceará, Hospital Universitário Walter Cantídio, Fortaleza, CE, Brasil.; Centro Universitário Christus, Curso de Medicina, Fortaleza, CE, Brasil.
Jazyk: angličtina
Zdroj: Revista da Sociedade Brasileira de Medicina Tropical [Rev Soc Bras Med Trop] 2024 Oct 28; Vol. 57, pp. e008082024. Date of Electronic Publication: 2024 Oct 28 (Print Publication: 2024).
DOI: 10.1590/0037-8682-0273-2024
Abstrakt: A 34-year-old man developed severe envenomation after being bitten by a Crotalus durissus (rattlesnake), which was treated with anticrotalic serum. Three weeks later, the patient reported paresthesia and neuropathic pain in the left hand, which had progressed to all four limbs. Electroneuromyography revealed asymmetric axonal sensorimotor multiple mononeuropathy. The patient was treated with prednisone, and six months later there was significant improvement in sensorimotor conduction. This is the first reported case of multiple mononeuropathy associated with C. durissus envenomation. Post-snake envenomation peripheral neuropathy is a rare complication requiring prompt recognition and treatment to optimize nerve function and enhance patient outcomes.
Databáze: MEDLINE
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