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A retrospective study of 40 victims of crotalus snake bites. Analysis of the hepatic necrosis observed in one patient

Barraviera, B ; Bonjorno Júnior, J C ; Arkaki, D ; Domingues, M A ; Pereira, P C ; Mendes, R P ; Machado, J M ; Meira, D A

Revista da Sociedade Brasileira de Medicina Tropical, 1989, Vol.22 (1), p.5-12 [Periódico revisado por pares]

Brazil: Sociedade Brasileira de Medicina Tropical

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Título:
A retrospective study of 40 victims of crotalus snake bites. Analysis of the hepatic necrosis observed in one patient
Autor: Barraviera, B ; Bonjorno Júnior, J C ; Arkaki, D ; Domingues, M A ; Pereira, P C ; Mendes, R P ; Machado, J M ; Meira, D A
Assuntos: Acidente crotálico ; Acute Kidney Injury - etiology ; Acute Kidney Injury - pathology ; Adolescent ; Adult ; Aged ; Agricultural Workers' Diseases - etiology ; Agricultural Workers' Diseases - pathology ; Female ; Humans ; Liver Diseases - etiology ; Liver Diseases - pathology ; Male ; Middle Aged ; Necrose hepática ; Necrosis ; Retrospective Studies ; Rural Health ; Snake Bites - complications ; TROPICAL MEDICINE
É parte de: Revista da Sociedade Brasileira de Medicina Tropical, 1989, Vol.22 (1), p.5-12
Descrição: Forty patients with a diagnosis of snake bite were studied at the Infectious and Parasitic Disease Service of the Faculty of Medicine of Botucatu. Thirty were males and 10 females, ranging in age from 16 to 70 years. All were farm laborers and 35 of them were bitten in the lower limbs. Two of the 9 patients seen more than 6 hours after the bite died. The low mortality rate (5%) observed could be explained by the early care provided, by the use of appropriate doses of anti-crotalus serum, parenteral hydration, urine alkalinization with sodium bicarbonate and induction of osmotic diuresis with a mannitol solution. Anatomopathological examination of one of the patients who died revealed extensive hepatic necrosis. The authors discuss the possibility of the effect of a factor of snake venom in the genesis of hepatic necrosis and in the increased transaminase levels.
Editor: Brazil: Sociedade Brasileira de Medicina Tropical
Idioma: Inglês;Português

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A retrospective study of 40 victims of crotalus snake bites. Analysis of the hepatic necrosis observed in one patient

Barraviera, B ; Bonjorno Júnior, J C ; Arkaki, D ; Domingues, M A ; Pereira, P C ; Mendes, R P ; Machado, J M ; Meira, D A

Brazil: Sociedade Brasileira de Medicina Tropical

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