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Case Report: Hemothorax in Envenomation by the Viperid Snake Bothrops asper .
- Source :
-
The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2019 Mar; Vol. 100 (3), pp. 714-716. - Publication Year :
- 2019
-
Abstract
- Bothrops asper , a highly venomous pit viper distributed from Colombia and northwestern Peru in South America to southern Mexico, is responsible for most snake bites in Central America, affecting especially young agricultural workers. A 17-year-old male from a rural area in northern Honduras was admitted at San Francisco Hospital after a B. asper bite that had occurred 3 days earlier. The puncture wounds were located on the first toe of the right foot. On the second day of admission, the patient developed dyspnea. A physical examination revealed hypoventilation of the left lung with dullness on 75% of the left lung. Left pleural effusion, approximately 90%, was observed on the chest X-ray. The patient was diagnosed with hemothorax, and a thoracostomy drained 1,350 mL of serosanguineous fluid, followed by the installation of a wet suction control system (Pleur-evac <superscript>®</superscript> ). After 10 days, the patient was discharged. This case illustrates the diversity of hemorrhagic manifestations in envenomations by B. asper .
Details
- Language :
- English
- ISSN :
- 1476-1645
- Volume :
- 100
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The American journal of tropical medicine and hygiene
- Publication Type :
- Academic Journal
- Accession number :
- 30594282
- Full Text :
- https://doi.org/10.4269/ajtmh.18-0826