title: [Crotalid bites in children: clinical, laboratory, epidemiologic aspects and treatment approach].
abstract: At the Hospital of Clinics of the Faculty of Medicine of Ribeirão Preto/USP during the years 1980-1989 21 children have been attended after rattlesnake bite: 16 severe and 5 with moderate envenomation. Four (20%) developed acute tubular necrosis 2 necessitating dialysis. One patient died 13 days after the bite and grave complications including digestive hemorrhage and acute respiratory insufficiency. All patients preserved clinical laboratory and epidemiological characteristics of Crotalus durissus terrificus envenomation. We also comment on the correct management of such patients specially related to antivenin dosage and the prevention of acute tubular the most serious complication of such an accident.
authors.affiliation: Departamento de Puericultura, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: P
authors.initials: P
authors.lastname: Cupo
authors.forename: M M
authors.initials: MM
authors.lastname: Marques
authors.forename: S E
authors.initials: SE
authors.lastname: Hering
mesh_terms: D000293:Adolescent; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D003435:Crotalid Venoms; D005260:Female; D006801:Humans; D008297:Male; D012909:Snake Bites / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy
chemical_list: D003435:Crotalid Venoms
vernacular_title: Acidente crotálico na infância: aspectos clínicos, laboratoriais, epidemiológicos e abordagem terapêutica.