Document Detail


Compartment syndrome after viper-bite in toddler: case report and review of literature.
MedLine Citation:
PMID:  22978057     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Snakebites in Italy are a rare source of severe medical condition, except in case of venomous snakes. The venom causes both local and/or systemic complication which may determine death in 6-60 hours, particularly in children and the elderly. In fact, the same amount of venom affects children more severely than adults because of the reduced total dilution volume in children. The only specific and conflicting therapy for venomous snakebite is to administer the appropriate anti-venom; the remaining therapy is symptomatic and supportive. We describe the case of a 22-month-old child who, despite appropriate symptomatic treatment, developed severe signs and an acute compartment syndrome of the right upper limb, a rare complication of venom snakebite. Administration of antivenom and fasciotomy were needed to resolve the acute episode permitting a positive outcome. On the basis of literature review and our experience we hypothesize an algorithm for the treatment of these patients.
Authors:
Zaira Pietrangiolillo; Rossella Frassoldati; Virginia Leonelli; Rachele Freschi; Antonia Russomando; Laura Lucaccioni; Lorenzo Iughetti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta bio-medica : Atenei Parmensis     Volume:  83     ISSN:  0392-4203     ISO Abbreviation:  Acta Biomed     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-09-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101295064     Medline TA:  Acta Biomed     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  44-50     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Modena & Reggio Emilia, Modena, Italy.
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