Abstract

PARDAL, Pedro Pereira de Oliveira; SILVA, Carla Luciana Queiroz da; HOSHINO, Silvana do Socorro Nascimento  and  PINHEIRO, Maria de Fátima Rebelo. Snakebite by the rattlesnake (Crotalus sp) in Ponta de Pedra, Marajó Island, Pará - A Case report. Rev. Para. Med. [online]. 2007, vol.21, n.3, pp.69-73. ISSN 0101-5907.

OBJECTIVE: report a case of snake envenomation by Crotalus sp, taken care of in the Hospital Pronto Socorro Municipal (HPSM) Humberto Maradei in Belém-Pará, occurred in the year of 2007. CASE REPORT: man, 19 years old, was bitten in the right inferior member when he was hunting with his father in an open field. He presented clinical manifestations after 12 hours of the accident. In the presence of the symptoms such as ptosis bipalpebral, ophthalmoplegia, arthralgia and myalgia that the victim looked for medical attendance in the Hospital de Ponta-de-Pedras, Ilha-do-Marajó and soon was transferred to the HPSM of Belém. The accident was classified as moderate and complemented with the specific serumtherapy. The examinations presented the following results: CPK: 9,616 U/L; LDH: 3,578 U/L; AST: 729 UI/ml; ALT: 340 UI/ml; urea, creatinine and coagulation time inside the values of reference. After the serumtherapy and symptomatic procedures the patient evolved with clinical improvement, receiving, discharge cured after some days. FINAL CONSIDERATIONS: to alert professionals of the health area about the importance of the poisoning and the conduction that have to be taken in case of ofídico accident, specially for rattlesnake.

Keywords : envenomation; crotalus; serumtherapy.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )