Oral cavity bleeding following snakebite: A case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i1.11505

Keywords:

Ophidic Accidents; Complications; Wounds and Injuries.

Abstract

Snakebite is an important public health problem because of its incidence, morbidity, and mortality. It may be related to climatic factors and rural habits. Snakes of the genus Bothrops are responsible for most snakebites in Brazil. The venom of these snakes has peculiar characteristics, with important proteolytic, coagulant, and hemorrhagic actions, leading to local and systemic alterations. Initial manifestations include local tissue injury, pain, swelling, bleeding, and bullous lesions that can progress to abscesses or tissue necrosis. Systemic manifestations should be carefully evaluated especially for the probability of hemorrhagic events such as epistaxis, gingivorrhagia, hematuria, and hemoptysis. Knowing the clinical manifestations of snakebites, as well as the adequate treatment, is essential. Efficient and rapid diagnosis can minimize victims’ injuries and the probability of death. The present study reports the clinical case of bleeding at a distant site from the initial site of venom inoculation after bite by a Bothrops snake, emphasizing the therapeutic approach and differential diagnosis in these cases.

References

Albuquerque, P. L., Jacinto, C., Silva Junior, G. B., Lima, J. B., et al.(2013). Acute kidney injury caused by Crotalus and Bothrops snake venom: a review of epidemiology, clinical manifestations and treatment. Revista do Instituto de Medicina Tropical de São Paulo, 55(5): 295-301.

Bucaretchi, F., Herrrera, S. R. F., Hyslop, S., Baracat, E. C. E., & Vieira, R. J. (2001). Snakebites by Bothrops spp in children in Campinas, São Paulo Brazil . Rev. Inst. Med, Trop. 43 (6):329-333.

Costa, M. K. B. D., Fonseca, C. S. D., Navoni, J. A., & Freire, E. M. X. (2019). Snakebite acidentes in Rio Grande do Norte state, Brazil: Epidemiology, health, managemente and influence of the environmental scenario. Tropical Medicine & International Heralth. 24(4)432-441.

Gonçalves, R. C., Faleiro, J. H., Lima, G. M., Malafaia, G., et al (2014).The epidemiology of snakebite accidents in the cities of southeast Goiás from 2007 TO 2011. Bioscience Journal. (30)5: 1614-1621.

Gutiérrez, J. M., Theakston, R. D. G., & Warrell, D. A (2019). Confronting the neglected problem of snake bite envenoming: the need for a global partnership. PLoS Med. 3(6):e150. https:// journals.plos.org/plosmedicine/article?id=10.1371/ journal.pmed.0030150. 10.1371/journal. pmed.0030150.

Luciano, P. M., Silva, G. E. B., & Azevedo-Marques, M. M. (2009). Acidente botrópico fatal. Medicina 42(1), 61-65.

Machado, C., Bochner, R., & Fiszon, J. T. (2012). Epidemiological profile of snakebites in Rio de Janeiro, Brazil, 2001-2006. J Venom Anim Toxins incl Trop Dis. 18(2), 217-224.

Ministério da Súde do Brasil. Manual de diagnóstico e tratamento de acidentes por animais peçonhentos. Brasília, 2001.

Mise, Y. F., Lira-Da-Silva, R. M., & Carvalho, F. M. (2018). Time to treatment and severity of snake envenoming in Brazil. Revista Panamericana de Salud Pública, 42:52.

Pinho, F., & Pereira, L. (2001) Ofidismo. Revista da Associação Médica Brasileira, 47(1): 24-29.

Ribeiro, L. A., & Jorge, M. T. (1997). Acidente por serpentes do gênero Bothrops: série de 3.139 casos. Revista da Sociedade Brasileira de Medicina Tropical, 30(6):475-480.

Pardal, P. P. O., & Gadelha, M. A. C. (2010). Acidentes por animais peçonhentos: manual de rotinas. (2a ed.) SES/PA.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., Shitsuka, R. (2018). Metodologia em pesquisa científica. UFSM.

Sgrignolli, L., Mendes, G. E. F., Carlos, C. P., & Burdmann, E. A. (2011). Acute kidney injury caused by Bothrops snake venom. Nephron clinical practice, 119(2):131-137.

Silva, A. M. D., Bernarde, P. S., & Abreu, L. C. D. (2015). Acidentes com animais peçonhentos no Brasil por sexo e idade. Journal of Human Growth and Development, 25(1)54-62.

Silva, E. O. D., & Pardal, P. P. D. P. (2018). Envenenamento por serpente Bothrops no município de Afuá, Ilha de Marajó, estado do Pará, Brasil. Revista Pan-Amazônica de Saúde, 9(3), 57-62.

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Published

04/01/2021

How to Cite

OLIVEIRA, M. M. M. .; ALMEIDA, L. M.; SANTOS, D. M. .; SILVA, M. C. P. da .; SILVA, . C. J. .; ZANETTA-BARBOSA , D.; BATISTA, J. D. .; LIMA, F. G. G. P. .; RIOS, L. G. C. . Oral cavity bleeding following snakebite: A case report. Research, Society and Development, [S. l.], v. 10, n. 1, p. e12310111505, 2021. DOI: 10.33448/rsd-v10i1.11505. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11505. Acesso em: 19 jan. 2021.

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Section

Health Sciences