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疑似被矛头蝮蛇咬伤的儿童因颅内出血导致脑死亡。

Brain death due to intracranial hemorrhage in a child following suspected Bothrops snakebite.

作者信息

Dellandrea Heloisa, Guidoni Camilo Molino, Linck Junior Arnildo, Girotto Edmarlon

机构信息

Universidade Estadual de Londrina, Centro de Ciências da Saúde, Curso de Medicina, Londrina, PR, Brasil.

Universidade Estadual de Londrina, Departamento de Ciências Farmacêuticas, Londrina, PR, Brasil.

出版信息

Rev Soc Bras Med Trop. 2024 Dec 16;57:e008102024. doi: 10.1590/0037-8682-0264-2024. eCollection 2024.

Abstract

Snakebites from the genus Bothrops are common and are responsible for the highest mortality rate in Brazil. Factors related to the species, treatment, and patient influence the clinical manifestations and prognosis of the condition. Young patients without comorbidities have better prognoses and rarely develop severe systemic complications. This report discusses a case of brain death of an 11-year-old boy due to intracranial hypertension following possible Bothrops snakebite. Despite receiving antivenom therapy, the patient experienced seizures, mental confusion, and decreased consciousness. Autopsy, epidemiology, clinical presentation, and laboratory results indicated a snakebite with unconventional symptoms as the cause of death.

摘要

来自矛头蝮属的蛇咬伤很常见,在巴西导致的死亡率最高。与物种、治疗和患者相关的因素会影响该病的临床表现和预后。没有合并症的年轻患者预后较好,很少发生严重的全身并发症。本报告讨论了一例11岁男孩因可能被矛头蝮蛇咬伤后颅内高压导致脑死亡的病例。尽管接受了抗蛇毒血清治疗,患者仍出现癫痫发作、精神错乱和意识减退。尸检、流行病学、临床表现和实验室结果表明,一种具有非传统症状的蛇咬伤是死亡原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6607/11654471/632986976016/1678-9849-rsbmt-57-e00810-2024-gf1.jpg

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