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Revista Paraense de Medicina

Print version ISSN 0101-5907

Abstract

PARDAL, Pedro Pereira de Oliveira et al. Snakebite by the Bushmaster (Lachesis muta muta) in Belém-Pará: A case report. Rev. Para. Med. [online]. 2007, vol.21, n.1, pp.37-42. ISSN 0101-5907.

OBJETIVE: report a case of snake envenomation by Lachesis, admitted at João de Barros Barreto University Hospital, in Belém, state of Pará, in 2006. CASE REPORT: man, 19 years old, was bitten in the right forearm while was feeding the animal; he was hospitalized presenting mild edema in the right forearm, severe and localized ache, nauseas and vomiting, concomitant paroxistics abdominal colics, moreover blurred vision, mild epistaxis and diarrhea; At the first physical exam the heart beat was 108 bpm, and after serotherapy got 62 bpm, the blood pressure was 130/80 mmHg, Bleeding time was 4 min 15 seg, Coagulation time was over than 15 min, Prothrombin time was over than 1 minute. The treatment consisted of pre-medication and serotherapy using 10 ampoules of bothropiclaquetic antivenom. After the serotherapy, the patient improved clinically and remained asymptomatic until he was sent home, cured. FINAL CONSIDERATIONS: the snake envenomation by Lachesis is a rare fact, mainly within professionals whose handle with those animals. This report intent to alert those whom handle poisoning snake and improve the attention at workplace.

Keywords : ofidism; envenomation; Lachesis.

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