Document Detail


Case report: Hyperbaric oxygen in the treatment of puff adder (Bitis arietans) bite.
MedLine Citation:
PMID:  21226389     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The puff adder (Bitis arietans) is a venomous viper mainly found in sub-Saharan Africa. Due to its common occurrence and potent venom, it is considered to be the most dangerous snake in Africa, responsible for most snakebite fatalities there. Puff adder bites outside Africa are rare and involve captive vipers. We present the unusual case of puff adder envenomation in an Austrian man.
CASE REPORT: A 26-year-old Austrian man was bitten by a puff adder that he kept illegally in his home. On admission he showed signs of local and systemic toxicity. He was stabilized with antivenom, intravenous fluids, catecholamines and packed platelets. Hyperbaric oxygenation was begun due to incipient compartment syndrome on the second day and continued until the eleventh day, when the patient had recovered completely and could be discharged.
DISCUSSION: The venom of Bitis arietans can cause serious systemic and local complications. Our patient suffered from both. Systemic signs included hemodynamic as well as hemostaseologic impairment. Local effects included swelling and incipient compartment syndrome. Systemic and local treatment, including hyperbaric oxygenation, effected a full recovery. We suggest that, whenever feasible, hyperbaric oxygenation should be considered as adjunct treatment in snake bites to avert adverse outcomes.
Authors:
Peter P Rainer; Peter Kaufmann; Freyja M Smolle-Juettner; Guenter J Krejs
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc     Volume:  37     ISSN:  1066-2936     ISO Abbreviation:  Undersea Hyperb Med     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2011-01-13     Completed Date:  2011-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312954     Medline TA:  Undersea Hyperb Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  395-8     Citation Subset:  IM; S    
Affiliation:
Department of Medicine, Medical University of Graz, Austria. peter.rainer@medunigraz.at
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MeSH Terms
Descriptor/Qualifier:
Adult
Hand Injuries / etiology,  therapy
Humans
Hyperbaric Oxygenation / methods*
Male
Snake Bites / complications,  therapy*
Viper Venoms / poisoning*
Chemical
Reg. No./Substance:
0/Viper Venoms
Comments/Corrections
Comment In:
Undersea Hyperb Med. 2010 Nov-Dec;37(6):393-4   [PMID:  21226388 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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