Grupo de Investigaciones Herpetológicas y Toxinológicas, Universidad del Cauca, Popayán, Colombia.
Departamento de Medicina Interna, Clínica Los Andes, Tunja, Colombia.
Biomedica. 2021 Dec 15;41(4):631-642. doi: 10.7705/biomedica.6112.
We report two snakebites by Micrurus ortoni in Colombia and one by M. hemprichii in Perú. In two of the cases, we observed mild to moderate motor neurological involvement and in all patients, there was a marked sensory effect with hyperesthesia and hyperalgesia radiating from the bite site to the entire ipsilateral hemibody. The only patient who received antivenom, which did not correspond with the type of envenomation, developed equine serum sickness eight days after its administration. The results of the laboratory tests, including an electromyographic study, the photographic record of the clinical manifestations, and the causative agents are presented and discussed.
我们报告了两例哥伦比亚的奥氏环蛇咬伤和一例秘鲁的红喷毒眼镜蛇咬伤。在其中两例病例中,我们观察到了轻度至中度的运动神经功能障碍,所有患者均出现明显的感觉效应,感觉过敏和痛觉过敏从咬伤部位放射到整个对侧半身体。唯一接受了与蛇毒类型不匹配的抗蛇毒血清治疗的患者,在给药后 8 天出现了马血清病。我们呈现并讨论了实验室检查结果,包括肌电图研究、临床表现的照片记录和病原体。