Medical Management after Lancehead Snakebite in North Amazon: A Case Report of Long-Term Disability

Snakebites are a major public health problem in indigenous communities in Brazil, leading to acute local and systemic damage with resulting deficiencies. Long-term musculoskeletal disabilities related to snakebites have been a neglected area of research. (lancehead) snakes are responsible for most o...

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Bibliographic Details
Published in:Toxins 2022-07, Vol.14 (7), p.494
Main Authors: Oliveira, Isadora S, Ananias, Carla B, Medeiros, Jilvando M, Franco, Michelle V S, Ferreira, Isabela G, Cerni, Felipe A, Sandri, Eliseu A, Monteiro, Wuelton M, Pucca, Manuela B
Format: Article
Language:English
Subjects:
Abscesses
Adult
Amputation
Anesthesia
Animals
Antibiotics
Antivenins
Bites and stings
Bothrops
Brazil
Care and treatment
Case Report
Case reports
Compartment syndrome
Complications
Complications and side effects
Debridement
Disabilities
Disability
Dosage and administration
Edema
Gait
Hospitals
Humans
Indigenous peoples
Infections
Local communities
Male
Medical case management
Methods
Narcotics
necrosis
Orthopedics
Pain
Patients
Physiology
Plastic surgery
Prevention
Public health
Risk factors
Roraima
Sepsis
sequelae
Snake bites
Snake Bites - complications
Snake Bites - therapy
snakebite envenoming
Snakes
Social interactions
Surgeons
Vascular surgery
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Description
Summary:Snakebites are a major public health problem in indigenous communities in Brazil, leading to acute local and systemic damage with resulting deficiencies. Long-term musculoskeletal disabilities related to snakebites have been a neglected area of research. (lancehead) snakes are responsible for most of the permanent sequelae related to snakebites in Latin America. Here, we present a case report of a 32-year-old male indigenous patient who was envenomed by a species. The patient was clinically followed for a period of approximately 2 years and 6 months, during which time he experienced a loss of musculoskeletal tissue and required several medical procedures such as debridement, tissue reconstruction, and physical therapy, which resulted in a recovery of mobility, though with a permanent sequelae in gait. This case report shows how snakebites have a significant impact on health systems, as victims require physiotherapy, plastic surgery, and orthopedics services, as well as social support for reintegration into their local communities.
ISSN:2072-6651
2072-6651
DOI:10.3390/toxins14070494