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Colegio de Medicos y Cirujanos República de Costa Rica

2012, Number 603

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Rev Med Cos Cen 2012; 69 (603)

Accidente botrópico por coral verdadera

Martínez TD, Buitrago CO

Language: Spanish
References: 13
Page: 409-412
PDF size: 231.08 Kb.


ABSTRACT

A 24 year old Tourist guide, arriving from Puerto Jiménez, bitten by a snake (micruru nigrocintus nigrocintus) twice in the back of the base of the first dactyl of the left hand, Who received medical attention two hours after the trauma, because of his complicated geographic location, also develops neurological manifestations such as: edema, pain, diplopia, left ptosis palpebral, migraine, dysarthria. He was treated with 17 flasks of anticoral serum, antihistamines and antibiotics; eight hours after the treatment began, the patient started to revert the symphtoms and successfully evolve after 7 days of hospitalization.


REFERENCES

  1. Arroyo O, Bolaños R, Muñoz G. The Bacterial Flora of Venoms and Mouth Cavities of Costa Rican Snakes. Buil Pan Am Health Organ 1980; 3:280-285.

  2. Bolaños R. Las serpientes venenosas de Centroamérica y el problema del ofidismo. Primera parte. Aspectos zoológicos, epidemiológicos y biomédicos. Rev. costarric. cienc. méd. 3(2):165-85, 1982

  3. Bolaños R. Serpientes venenos y ofidismo en Centroamérica. San José. Editorial Universidad de Costa Rica 1984

  4. Chaves F., Alvarado J., Aymerich R., Solórzano A. Aspectos básicos sobre las serpientes de Costa Rica. San José. Oficina de Publicaciones de la Universidad de Costa Rica 1996.

  5. Forks TP. Evaluation and Treatment of Poisonous Snakebites. Am Fam Physician 1994,1:123-130

  6. Gold BS, Barish RA. Venomous Snakebites: Current Concepts in Diagnosis, Treatment and Management. Emerg Med Clin North Am 1992; 2:249-267

  7. Gutierrez JM. Clinical Toxicology of Snakebite in Central América In: Meier J, Wite J (ed.) Handbook of Clinical Toxicology of Animal Venoms and Poisons CRS tipo trombina C press 1995, pp: 646-663

  8. Hardy, D. L. 1994. Bothrops asper (Viperidae) snakebite and field researchers in Middle America. Biotrópica 26:198-207

  9. Instituto Clodomiro Picado. 1993. Memorias del Seminario “Envenenamiento Ofídico: Fisiopatología y Tratamiento”. San José, Costa Rica

  10. Norris Robert. Sabiston, Tratado de Cirugía. Elsevier Saunders, Volumen 18. 2011, pp:587.

  11. Picado Twight. Serpientes Venenosas de Costa Rica En: Obras Completas Editorial Tecnológica de Costa Rica Volumen III. 1987

  12. Salas Elvira. Mordeduras por Serpientes. Universidad de Costa rica. 2009

  13. 1Wagner CW, Golladay ES. Crotalid envenomation in children: selective conservative management.




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