@article{ref1,
title="Mamba envenomation in mainland France: management of exotic envenomations needs rethinking",
journal="Annales Francaises d'Anesthesie et de Reanimation",
year="2008",
author="Leclerc, T. and Debien, B. and Perez, J-P and Petit, M-P and Lenoir, B.",
volume="27",
number="4",
pages="323-325",
abstract="We report a case of accidental green mamba (Dendroaspis viridis) envenomation in the suburbs of Paris. Although moderate, neurotoxic symptoms were clearly present. Immunotherapy with polyvalent serum FAV-Afrique((R)) was decided, but logistical problems prevented reasonably quick serum delivery to the hospital. Despite a spontaneously favourable outcome probably due to minimal envenomation, this case exemplifies a near-miss of the care system. Given the increasing incidence of potentially life-threatening exotic envenomations, management of similar cases should be improved. Besides breeders and health care professionals' information, we suggest that victims of an exotic envenomation be referred to a facility with experienced staff and ready access to a limited bank of carefully chosen antivenins.<p /> <p>Language: fr</p>",
language="fr",
issn="0750-7658",
doi="10.1016/j.annfar.2007.10.040",
url="http://dx.doi.org/10.1016/j.annfar.2007.10.040"
}