title: [Local complications after poisonous snake bite].
abstract: The case of a zoo keeper who was bitten on the left finger by a venomous snake (Vipera xanthina) is reported. The administration of antivenom prevented the development of systemic poisoning but had no effect on the extent of the local complications. A compartment syndrome with a concomitant severe reaction at the bite site required fasciotomy of the upper and lower arm. The extensor tendon of the involved finger ruptured spontaneously, many weeks after wound healing was completed. Therefore, delayed local complications following snake bites may occur, even if signs of systemic poisoning are missing.
authors.affiliation: Abteilung für Plastische Chirurgie, II. Chirurgischen Universitätsklinik, Wien.
authors.forename: R
authors.initials: R
authors.lastname: Kuzbari
authors.forename: D
authors.initials: D
authors.lastname: Seidler
authors.forename: M
authors.initials: M
authors.lastname: Deutinger
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D000818:Animals; D000836:Animals, Zoo; D003161:Compartment Syndromes / Q000601:surgery*; D000071938:Fasciotomy; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D012909:Snake Bites / Q000601:surgery*; D014757:Viper Venoms / Q000009:adverse effects*; D017819:Viperidae
chemical_list: D014757:Viper Venoms
vernacular_title: Lokale Komplikationen nach einem Giftschlangenbiss.