Envenomation by a western green mamba (Dendroaspis viridis) - A report of three episodes in Switzerland
| Autor: | Stefan Weiler, Jürg Meier, Joan Fuchs |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0106 biological sciences
Adult Male medicine.medical_specialty medicine.medical_treatment Antivenom Snake Bites Toxicology 01 natural sciences Compartment Syndromes Fasciotomy 03 medical and health sciences Elapid snake Throat Medicine Animals Humans Envenomation Elapid Venoms 0303 health sciences Dendroaspis biology business.industry Antivenins 010604 marine biology & hydrobiology 030302 biochemistry & molecular biology Mamba Tingling sensation Middle Aged biology.organism_classification Dermatology medicine.anatomical_structure business Switzerland |
| Zdroj: | Toxicon : official journal of the International Society on Toxinology. 168 |
| ISSN: | 1879-3150 |
| Popis: | The African elapid snake genus Dendroaspis comprises four species, with D. polylepsis the most dangerous of them. D. viridis is believed to cause stronger neurotoxic symptoms than the potentially least toxic of the genus, D. angusticeps, but seems less toxic compared to either of the D. jamesoni species (D. j. jamesoni(TRAILL 1843) and D. j. kaimosae (Loveridge 1936)). We present three episodes of bites byD. viridis in the same patient, sustained on three different occasions, caused by three different and unrelated snakes. While the first bite remained oligosymptomatic with a slight tightness of the throat and speedy resolution of symptoms without specific therapy, episodes two and three resulted in the patient developing massive local swelling. However, the patient showed only minimal neurologic and systemic symptoms such as tightness of the throat and a tingling sensation of the body. Episode two resolved with fasciotomy after compartment syndrome was diagnosed with a measured intracompartmental pressure of 52 mmHg. In episode three, antivenom was administered with good resolution of symptoms. The clinical courses in this patient were remarkable as he displayed mainly local symptoms after three individual bites by a supposedly neurotoxic snake. |
| Databáze: | OpenAIRE |
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