Análisis clínico y epidemiológico de los accidentes por mordeduras de serpientes del género Bothrops en Venezuela [A clinical and epidemiological analysis of accidental bites by snakes of the genus Bothrops in Venezuela].
Clinical register of 60 patients bitten by Bothrops snake who assisted at Leopoldo Manrique Hospital and the Institute of Tropical Medicine (HLM-IMT) in Caracas during 1996-1997 were analysed. The accident was more frequent in males (45/75%). In 32 cases (53.3%) the snake was classified and 26 were Bothrops lanceolatus, 4 Bothrops venezuelensis and 2 Bothrops atrox. Anatomic regions more frequent bitten were superior members (40/66.6%): hands (36/60%), forearm (2/3.3%), elbow (1/1.6%) and arm (1/1.6%). On inferior members (20/33.3%): legs (6/10%), feet (10/16.7%), ankle (2/3.3%), and the hip (2:3.3%). The most frequent clinical manifestations in moderate and severe cases (33 patient) were pain (100%), oedema (98%), ecchymosis (76%), blisters (20%), necrosis (12%), abscess (6%) bleeding (19%), heart failure (1/1.6%), renal failure (1/1.6%). The blood clotting was evaluated in 60 (100%) cases and it was altered in 33 (55%) patients. No deaths were recorded.
Rodríguez Acosta
A
A
Hospital Leopoldo Manrique Terreno, Instituto de Medicina Tropical Dr. Félix Pifano, Universidad Central de Venezuela, Caracas.
Uzcategui
W
W
Azuaje
R
R
Aguilar
I
I
Girón
M E
ME
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000818:Animals; D017837:Bothrops; D002648:Child; D002675:Child, Preschool; D003435:Crotalid Venoms / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D017678:Sex Distribution; D012909:Snake Bites / Q000097:blood / Q000175:diagnosis* / Q000453:epidemiology; D013997:Time Factors; D014687:Venezuela / Q000453:epidemiology
D003435:Crotalid Venoms