title: [Injured tongue due to bite of fer-de-lance (author's transl)].
abstract: A nine-year-old boy was bitten in the tongue by an Asiatic fer-de-lance, a Trimenesurus wagleri. No generalized toxic reaction developed; there was only locally a massive edema of the tongue leading to a severe dyspnea. The child was intubated and administered antiphlogistics, antibiotics, cortison, a tetanus booster shot as well as parenteral nutrition. After three days the local status was unchanged. Because of the danger of the development of necrosis in the laryngeal region as a result of the toxic effect and the sustained intubation, a tracheotomy inferior was carried out. The status localis improved considerably after surgery, so that a week after the bite the tracheostoma could be closed. Four weeks later no pathological findings were made any more, the tracheostoma had healed up well.
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001210:Asia, Southeastern; D002648:Child; D004417:Dyspnea / Q000209:etiology; D004487:Edema / Q000209:etiology; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D008722:Methods; D012909:Snake Bites / Q000150:complications* / Q000628:therapy; D012911:Snakes; D013045:Species Specificity; D014059:Tongue / Q000293:injuries*; D014060:Tongue Diseases / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Bissverletzung der Zunge durch eine asiatische Lanzenotter.