Isolated Ptosis Following a Vipera aspis Bite
Copyright © 2022 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved..
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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
|---|---|
| Enthalten in: |
Wilderness & environmental medicine - 33(2022), 2 vom: 15. Juni, Seite 245-247 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Blasco Mariño, Robert [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Antivenins |
|---|
| Anmerkungen: |
Date Completed 31.05.2022 Date Revised 08.06.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.wem.2022.02.007 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM338970142 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM338970142 | ||
| 003 | DE-627 | ||
| 005 | 20231226001849.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.wem.2022.02.007 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1129.xml |
| 035 | |a (DE-627)NLM338970142 | ||
| 035 | |a (NLM)35367125 | ||
| 035 | |a (PII)S1080-6032(22)00038-2 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Blasco Mariño, Robert |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Isolated Ptosis Following a Vipera aspis Bite |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 31.05.2022 | ||
| 500 | |a Date Revised 08.06.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a medical emergencies | |
| 650 | 4 | |a snakebites | |
| 650 | 4 | |a snakes | |
| 650 | 7 | |a Antivenins |2 NLM | |
| 650 | 7 | |a Viper Venoms |2 NLM | |
| 700 | 1 | |a Soteras Martínez, Iñigo |e verfasserin |4 aut | |
| 700 | 1 | |a Hernandez Roca, Ana Isabel |e verfasserin |4 aut | |
| 700 | 1 | |a Zafren, Ken |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Wilderness & environmental medicine |d 1995 |g 33(2022), 2 vom: 15. Juni, Seite 245-247 |w (DE-627)NLM094469377 |x 1545-1534 |7 nnns |
| 773 | 1 | 8 | |g volume:33 |g year:2022 |g number:2 |g day:15 |g month:06 |g pages:245-247 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.wem.2022.02.007 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 33 |j 2022 |e 2 |b 15 |c 06 |h 245-247 | ||