Envenomation by the common European adder (Vipera berus): a case series of 219 patients
| Autor: | Mikkel Brabrand, Andrea H Krug, Eirik Tjønnfjord, Mette Nagstrup Hermansen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Abdominal pain Vipera berus Databases Factual Nausea medicine.medical_treatment Denmark Snake Bites 030204 cardiovascular system & hematology Risk Assessment Severity of Illness Index Fasciotomy Cohort Studies 03 medical and health sciences 0302 clinical medicine Epidemiology medicine Palpitations Viperidae Animals Humans Child Retrospective Studies Respiratory distress biology business.industry Antivenins 030208 emergency & critical care medicine Consecutive case series biology.organism_classification Prognosis Hospitalization Treatment Outcome Emergency Medicine Female medicine.symptom business |
| Zdroj: | Hermansen, M N, Krug, A H, Tjønnfjord, E & Brabrand, M 2019, ' Envenomation by the common European adder (Vipera berus) : a case series of 219 patients ', European Journal of Emergency Medicine, vol. 26, no. 5, pp. 362-365 . https://doi.org/10.1097/MEJ.0000000000000577 |
| ISSN: | 1473-5695 |
| DOI: | 10.1097/MEJ.0000000000000577 |
| Popis: | OBJECTIVES: Every year, several patients are bitten by the common European adder (Vipera berus). The aim of this study is to present a large consecutive case series of patients bitten by V. berus, and to identify signs and symptoms indicative of complicated illness.PATIENTS AND METHODS: This is a retrospective case series from the Hospital of South West Jutland, Denmark. All 219 patients bitten by V. berus (diagnosed by history or clinical findings) from 1994 to 2012 were identified through hospital databases. A severity grading from 1 to 5 was applied, and epidemiology, symptoms and signs, complications, treatment and laboratory data were extracted from the hospital databases.RESULTS: The most common complaints on admission were pain, nausea, abdominal pain, diarrhoea and dizziness, with discoloration and oedema being the most common symptoms. Few patients experienced syncope, palpitations or respiratory distress. Fifteen percent of all patients were transferred to the ICU and 2% (all children) were suspected of having compartment syndrome. Leucocytosis, gastrointestinal symptoms and hypotension were risk factors for complicated disease.CONCLUSION: Most patients only showed symptoms of no or mild envenomation. Fifteen percent were transferred to the ICU and five patients (all children) required fasciotomy because of suspected compartment syndrome. Only 10 patients received antivenom. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|