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Case Reports
. 2020 Sep;31(3):317-323.
doi: 10.1016/j.wem.2020.03.001. Epub 2020 May 24.

Bothrops atrox Snakebite: How a Bad Decision May Lead to a Chronic Disability: A Case Report

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Case Reports

Bothrops atrox Snakebite: How a Bad Decision May Lead to a Chronic Disability: A Case Report

Jacqueline de Almeida Gonçalves Sachett et al. Wilderness Environ Med. 2020 Sep.

Abstract

Snakebites are a neglected and underestimated global health hazard. In the Brazilian Amazon, Bothrops snakebites are the most prevalent and may lead to severe complications. Here we describe a severe case of Bothrops atrox snakebite that, owing to delayed medical assistance, presented with renal and respiratory failure, compartment syndrome, and tissue necrosis. After several fasciotomy surgeries, the patient survived; however, he showed significant functional disability. Prompt management of snake envenomation would aid in the early diagnosis of local and systemic complications and, consequently, would result in a better functional outcome with improved quality of life.

Keywords: compartment syndromes; envenomation; fasciotomy; viperidae.

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