Torrez P P Q, Said R, Quiroga M M M, Duarte M R, França F O S
Advanced Tropical Medicine Center, Santarém, Pará of the Department of Infectious and Parasitic Diseases, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Advanced Tropical Medicine Center, Santarém, Pará of the Department of Infectious and Parasitic Diseases, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Toxicon. 2014 Jul;85:27-30. doi: 10.1016/j.toxicon.2014.04.001. Epub 2014 Apr 12.
There are six species of Bothriopsis in Latin America, accidents caused by this genus are unusually reported. A 37-year-old man admitted thirty hours after a snakebite to the emergency department of Santarém City Hospital (SCH), northern Brazil. The patient presented local erythema, edema, increased local temperature and blister with serous fluid in the right arm. He developed acute kidney injury (AKI) and prolonged thrombocytopenia. The blood was incoagulable and he was treated with anti-bothropic antivenom and antibiotics. The patient had complete regression of all clinical and laboratory manifestations at varying intervals. The platelet counts returned to normal almost 2 weeks after administration of specific antivenom. The present report is the first accident caused by a snake of forest pit viper (Bothriopsis bilineata) in the Brazilian Amazon forest.
在拉丁美洲有六种睫角蝰属蛇类，由该属蛇类导致的事故鲜有报道。一名37岁男子在被蛇咬后30小时被送往巴西北部圣塔伦市医院（SCH）急诊科。患者右臂出现局部红斑、水肿、局部温度升高以及含浆液的水泡。他发展为急性肾损伤（AKI）并伴有持续性血小板减少。血液无法凝固，他接受了抗睫角蝰属抗蛇毒血清和抗生素治疗。患者的所有临床和实验室表现均在不同时间间隔内完全消退。在使用特异性抗蛇毒血清后近2周血小板计数恢复正常。本报告是巴西亚马逊森林中首例由森林蝰蛇（双线睫角蝰）导致的事故。
