Philodryas patagoniensis bite and local envenoming

Revista do Instituto de Medicina Tropical de São Paulo

Sérgio De Andrade Nishioka¹  Paulo Vitor Portella Silveira¹ 

[1] ,Universidade Federal de Uberlândia Centro de Ciências Biomédicas Uberlândia MG ,Brasil

关键词: Colubridae;    Philodryas patagoniensis;    Snake bites;    Venom;   

DOI  :  10.1590/S0036-46651994000300013

来源: SciELO

【 摘 要 】

A 5-year-old boy bitten by a specimen of Philodryas patagoniensis, a colubrid snake currently classified as nonvenomous, developed signs of local envenoming characterized by swelling and warmth on the bitten limb. This is the first time that local envenoming following Philodryas patagoniensis bite is recognized. Based on the clinical findings and misidentification of the snake, the patient was treated as a victim of Bothrops bite, having received unnecessarily the specific antivenom. Educational efforts to make doctors and health workers capable to identify correctly venomous snakes are necessary, to avoid inappropriate indication of antivenom and decrease the risk of its potentially harmful untoward effects. Examination of the bite site can be useful to the differential diagnosis between pit viper and colubrid bites.

【 授权许可】

CC BY-NC   
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