title: [Snake bite by a poisonous snake. Report of an unusual case].
abstract: We report on a 31-year-old white woman, who was bitten in her right calf by a "spitting cobra" (Neia nigricollis) during a safari in Tansania. Minor initial systemic symptoms such as nausea and vomiting were followed by severe oedematous swelling of the extremity after 2-3 h and demarcation of a 2.75 x 2.75 in. area of necrotic skin. The patient returned to her home country, where 8 days after the snake-bite necrosectomy was performed. Antibiotics, anti-inflammatory agents and local therapy with hydrocolloidal wound dressings were administered. With this therapy the lesion healed completely with minor scarring within 5 months. A new Salmonella strain was isolated from the ground of the ulcer.
authors.affiliation: Dermatologische Universitäts-Klinik, Erlangen.
authors.forename: M S
authors.initials: MS
authors.lastname: Gruschwitz
authors.forename: V
authors.initials: V
authors.lastname: Mahler
authors.forename: M
authors.initials: M
authors.lastname: Rupprecht
authors.forename: O P
authors.initials: OP
authors.lastname: Hornstein
mesh_terms: D000328:Adult; D000818:Animals; D001284:Atrophy; D003131:Combined Modality Therapy; D017815:Elapidae; D004886:Erysipelas / Q000209:etiology / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000209:etiology / Q000473:pathology / Q000628:therapy; D012475:Salmonella / Q000145:classification / Q000302:isolation & purification; D012480:Salmonella Infections / Q000209:etiology / Q000473:pathology / Q000628:therapy; D012867:Skin / Q000473:pathology; D012909:Snake Bites / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D013636:Tanzania; D014946:Wound Infection / Q000209:etiology / Q000473:pathology / Q000628:therapy
vernacular_title: Bissverletzung durch eine Giftschlange. Bericht über einen ungewöhnlichen Fall.