Severe Bushmaster Snakebite Envenoming: Case Report and Overview.

Autor: Garcês-Filho, Allan Quadros, Santos, Humberto H. M., Aguiar, Thays K. P. P., Ramos, Dafnin L. S., Galan, Luis E. B., Dantas, Domingos S. M., Cerni, Felipe A., Carbonell, Roberto C., Pucca, Manuela B.
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Zdroj: Reports (MDPI AG); Sep2024, Vol. 7 Issue 3, p68, 11p
Abstrakt: Unlike the well-documented bothropic and crotalid snakebites in Brazil, lachetic envenomings (i.e., triggered by the bushmaster snake) are rare and present significant diagnostic challenges. This case describes a severe envenoming induced by a Lachesis muta snake in a 26-year-old Brazilian man who was bitten near a forest in November 2022. Characteristic symptoms such as sweating and bradycardia pointed towards lachetic envenoming, but initial misdiagnosis as a bothropic bite resulted in a delay in appropriate antivenom therapy. Despite later receiving the correct treatment, the severity of the envenoming necessitated the amputation of a finger and triggered a severe infection. This report highlights the challenges of diagnosing and treating Lachesis spp. bites due to their rarity. Moreover, an overview of lachetic-induced signs and symptoms was explored. This study emphasizes that further reports are warranted to improve understanding of Lachesis muta envenoming and to optimize treatment strategies. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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