title: [Compartment syndrome following adder bites].
abstract: Bites from the adder, Vipera Berus, can have serious clinical consequences due to systemic effects. Meanwhile, the local swelling calls for attention as well. Two cases of seven- and eleven-year-old boys are reported. The first patient was bitten in the 5th toe, the second in the thumb. Both developed fasciotomy-requiring compartment syndrome of the lower and upper limb, respectively. Recognition of this most seldom complication of an adder bite is vital to save the limb. We recommend that the classical signs and symptoms of compartment syndrome serve as indication for surgery. However, compartment pressure measurement can be helpful in the assessment of children.
authors.affiliation: Epidemiklinikken, Rigshospitalet, DK-2100 København Ø. casper.roed@rh.regionh.dk
authors.forename: Casper
authors.initials: C
authors.lastname: Roed
authors.forename: Lasse
authors.initials: L
authors.lastname: Bayer
authors.forename: Anne-Mette Kjaer
authors.initials: AM
authors.lastname: Lebech
authors.forename: Jesper Brøndum
authors.initials: JB
authors.lastname: Poulsen
authors.forename: Terese
authors.initials: T
authors.lastname: Katzenstein
mesh_terms: D000818:Animals; D002648:Child; D003161:Compartment Syndromes / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D012909:Snake Bites / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013933:Thumb; D014034:Toes; D017819:Viperidae