Novedades en el envenenamiento por mordedura de víbora

Martín, Cristina; Nogué, Santiago

doi:10.1016/j.medcli.2014.06.015

Cited by 8 publications

(2 citation statements)

References 25 publications

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“…In Spain, bites of venomous snakes are uncommon and cause death only in 1% of all hospitalizations. 1,2 Three Vipera species can be found in Spain: Vipera aspis , Vipera latastei , and Vipera seoanei . Two other species of venomous snakes, the non-front-fanged colubroids Malpolon monspessulanus and Macroprotodon brevis , occur in Spain.…”

Section: Introductionmentioning

confidence: 99%

Isolated Ptosis Following a Vipera aspis Bite

Mariño

Martínez

Roca³

et al. 2022

Wilderness & Environmental Medicine

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In Spain, snakebites are uncommon medical emergencies that cause barely 100 hospitalizations annually. Most of the venomous bites are by snakes of the Viperidae family. Venom from Vipera snakes is reported to have cytotoxic and hematotoxic effects, and neurological effects have also been described. Ptosis (cranial nerve III palsy) is the most common sign, although any cranial nerve can be affected. We describe isolated ptosis, which was very likely after a Vipera aspis bite in the East Catalonian Pyrenees. No antivenom was administered. The ptosis resolved spontaneously within 10 h. Although neurologic findings are usually mild, they indicate a moderate or severe envenomation. Treating snakebites can be challenging for clinicians, especially when there are uncommon clinical manifestations. A toxicologist at a poison center should be consulted to help guide management. Development of local protocols may provide clinical support.

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Section: Introductionmentioning

confidence: 99%

Isolated Ptosis Following a Vipera aspis Bite

Mariño

Martínez

Roca³

et al. 2022

Wilderness & Environmental Medicine

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“…La vía es intravenosa en un miembro diferente al afecto. No son necesarias pruebas de alergia previas ni administración de corticoides posteriores para la prevención de la enfermedad del suero22,23 5. -Evaluar horariamente la situación, si es preciso midiendo la PI.…”

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Síndrome compartimental en extremidad superior tras mordedura de ofidio en España

Sada

Díez

Peña

et al. 2017

Rev Iberoam Cir Mano

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). IntroducciónA finales del siglo XIX, Volkman describió el síndrome compartimental (SC), haciendo hincapié en la secuela que producía. Publicó varios casos de contracturas causadas por la compresión de vendajes y atribuyó su patogenia a la isquemia que se había producido. Bardenheuer, a principios del siglo XX, relacionó su fisiopatología con el aumento de la Palabras Clave ► mordeduras de serpientes ► envenenamiento por serpiente ► síndrome compartimental ► antivenenos ResumenLa mordedura de víbora en España es un hecho infrecuente pero que puede ser grave y presentar potenciales complicaciones tales como el síndrome compartimental. Conocer su manejo es clave para evitar secuelas. La extremidad superior es la localización más frecuente de la mordedura. Sin embargo, existe controversia acerca de cuál es el tratamiento indicado, y aunque tradicionalmente se ha abogado por las fasciotomías, publicaciones más recientes apoyan el uso de antivenenos como principal tratamiento por su gran efectividad y tolerabilidad. En el presente trabajo de actualización, se realiza una puesta al día con las publicaciones más relevantes, proponiendo el manejo mediante la administración de faboterápicos (antivenenos) y la medición de la presión intracompartimental antes de realizar una fasciotomía. Keywords► snake bite ► snake envenomation ► compartment síndrome ► upper limb ► antivenoms AbstractViper envenomation in Spain is an uncommon event, but it could be severe and with complications such as a compartment syndrome. Upper extremity is the most frequent site of the bite. Knowledge of the management of this pathology is essential to avoid serious long-term sequels. However, there exist a controversy as to which is the best treatment. Although traditionally the "gold standard" treatment has been a fasciotomy, recent publications indicate/propose the use of antivenoms which are very effective and with great tolerability. An update of the topic is made with the most relevant papers with a proposal for the simple management by means of the administration of antivenom and measurement of the intracompartmental pressure before carrying out a fasciotomy.

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