Adder (Vipera berus) bites: a case report and review of the management for emergency medical personnel.

Johnston, Michelle; Tullett, W.M.

doi:10.1136/emj.10.4.375

Cited by 6 publications

(12 citation statements)

References 7 publications

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“…Considering that Europe has a relatively high number of Vipera species with relevant medical aspects, and that Europe shows the most favourable habitat, the underestimation is even greater, confirming the fact that snakebite in Europe is a disease with neglected incidence, morbidity and mortality. This is also justified by the fact that sporadic individual case reports and case series are found in the literature 4–81 …”

Section: Introductionmentioning

confidence: 99%

Vipera snakebite in Europe: a systematic review of a neglected disease

Paolino

Nicola²,

Pontara

et al. 2020

Acad Dermatol Venereol

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In 2009, snakebites were included in the list of the World Health Organization (WHO) neglected diseases. Dermatological literature lacks current and up-to-date articles about snakebites and their management, despite the fact that dermatologists, especially from rural hospitals, can be called into the emergency room to consult the management of suspected snakebites. In this systematic review, we highlighted the main clinical and laboratory aspects of snakebites from Vipera spp. in Europe, by reviewing 3574 studies initially retrieved from PubMed, Embase and Cochrane CENTRAL databases. Of these, 78 were finally included in the systematic review. We found that the most involved taxon was V. berus in 63.3% and the most involved anatomic site of the bite was the upper limbs 53.1% with fang marks reported in 90.5%. The mean age of the patients was 32.9 years, and bites were slightly more common among males (58.2%). A wound washing was performed in 86.9% of cases before the hospitalization. The most frequently reported grade of envenomation was G2 (42.2%). In addition to local dermatological symptoms (extended erythema, oedema, cutaneous necrosis, hives, purpura, petechiae, acute compartment syndrome), numerous systemic symptoms have also been reported, including fatigue (14.4%), pain (75.3%), fever (49.2%), direct anaphylactoid reaction (5.3%), anxiety (60.8%), cranial nerve neurotoxicity (14.8%), dysesthesia/paraesthesia (7.9%), vomiting (33.7%), abdominal pain (23.3%), diarrhoea (15.4%), dyspnoea (6.3%), proteinuria (10.6%) and haematuria (9.3%). Secondary infections were present in 3.5% and disseminated intravascular coagulation in 3.1% of cases, and fasciotomy was performed in 4.2% cases, while an amputation in 6.9%. Only 0.9% of patients died. Antivenom was administered in 3053 cases. In conclusion, there is a pressing need for robust multi-centre randomized control trials, standardized protocol for snakebite management and antivenom administration across Europe and a National snakebite register for each European country.

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Section: Introductionmentioning

confidence: 99%

Vipera snakebite in Europe: a systematic review of a neglected disease

Paolino

Nicola²,

Pontara

et al. 2020

Acad Dermatol Venereol

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“…Patients with grade 0 or I bites, with no systemic complications, can be discharged after 12 hours of monitoring. [2,[15][16][17] Symptomatic treatment should be administered. Death can result from insufficient therapy.…”

Section: Discussionmentioning

confidence: 99%

The Evaluation of Snake Bite Cases Applied to Emergency Department: 132 cases

Şahan

Taşın

Karakuş

et al. 2016

Ulus Travma Acil Cerrahi Derg

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“…Hastanın ana ölüm nedeni solunum yetmezliğidir. Isırılan kişilerde 3-5 gün süren yaygın vücut felci gelişebilir, tamamen düzelmesi haftalar alabilir 32 .…”

Section: Nörotoksikunclassified

“…Fakat yılan antivenomu verilecekse, antivenom verildikten sonra bandaj açılmalıdır. Diş izi mevcut değilse ve sistemik zehirlenme bulguları yoksa hasta 12 saat izlendikten sonra taburcu edilebilir 32,54 .…”

Section: Yılan Zehirlenmelerinde Değerlendirmeunclassified