Citation

Torrez PP, Said R, Quiroga MMM, Duarte MR, França FO. Toxicon 2014; 85: 27-30.

Affiliation

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; Department of Infectious and Parasitic Diseases, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.toxicon.2014.04.001

PMID

24726466

Abstract

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 left 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.

Language: en