Department of BioMolecular Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-903, Brazil.
Medical School, Federal University of Roraima, Boa Vista 69310-000, Brazil.
Toxins (Basel). 2022 Jul 16;14(7):494. doi: 10.3390/toxins14070494.
Snakebites are a major public health problem in indigenous communities in Brazil, leading to acute local and systemic damage with resulting deficiencies. Long-term musculoskeletal disabilities related to snakebites have been a neglected area of research. (lancehead) snakes are responsible for most of the permanent sequelae related to snakebites in Latin America. Here, we present a case report of a 32-year-old male indigenous patient who was envenomed by a species. The patient was clinically followed for a period of approximately 2 years and 6 months, during which time he experienced a loss of musculoskeletal tissue and required several medical procedures such as debridement, tissue reconstruction, and physical therapy, which resulted in a recovery of mobility, though with a permanent sequelae in gait. This case report shows how snakebites have a significant impact on health systems, as victims require physiotherapy, plastic surgery, and orthopedics services, as well as social support for reintegration into their local communities.
蛇伤是巴西土著社区的一个主要公共卫生问题,可导致急性局部和全身损伤,并由此导致各种缺陷。与蛇伤相关的长期肌肉骨骼残疾一直是研究的一个被忽视领域。(矛头蝮)蛇是拉丁美洲与蛇伤相关的大多数永久性后遗症的罪魁祸首。在这里,我们报告了一例 32 岁的男性土著患者被一种 蛇咬伤的病例。该患者在临床随访期间约 2 年零 6 个月,在此期间他经历了肌肉骨骼组织的丧失,并需要多次医疗程序,如清创、组织重建和物理治疗,这导致了他的运动能力的恢复,但步态仍有永久性后遗症。本病例报告表明,蛇伤对卫生系统有重大影响,因为受害者需要物理治疗、整形手术和骨科服务,以及社会支持以重新融入当地社区。