<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232020000100050</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202000177</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Envenenamento por Crotalus durissus marajoensis em Muaná, Ilha de Marajó, estado do Pará, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Envenomation by Crotalus durissus marajoensis in Muaná, Marajó Island, Pará State, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Envenenamiento por Crotalus durissus marajoensis en Muaná, Isla de Marajó, estado de Pará, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Faro]]></surname>
<given-names><![CDATA[Sarah Maria de Lima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coutinho]]></surname>
<given-names><![CDATA[Igor Jordan Barbosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gadelha]]></surname>
<given-names><![CDATA[Maria Apolônia da Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pardal]]></surname>
<given-names><![CDATA[Pedro Pereira de Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Pará Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Empresa Brasileira de Serviços Hospitalares Complexo Hospitalar Universitário da Universidade Federal do Pará Hospital Universitário João de Barros Barreto, Unidade de Informações Toxicológicas]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Federal do Pará Núcleo de Medicina Tropical ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>11</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232020000100050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232020000100050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232020000100050&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVO: Relatar um caso de envenenamento por Crotalus durissus marajoensis Hoge, 1966 em Muaná, arquipélago do Marajó, no estado do Pará, Brasil.  RELATO DO CASO: Pescador, 48 anos de idade, picado por cascavel no tornozelo direito quando caminhava em área de campo. Após o envenenamento, relatou parestesia sem dor local. Em seguida, apresentou sensação de peso na cabeça, dificuldade de abrir as pálpebras, disartria, visão turva e diplopia. Deu entrada no Hospital Municipal de Muaná, 9 h após a picada, com os sinais e sintomas referidos, acrescidos de náuseas, tontura, dificuldade de deambular e mialgia. Devido à ausência do antiveneno específico no hospital do município, o paciente foi encaminhado para o Pronto Socorro Municipal em Belém do Pará, onde chegou após 18 h do acidente, apresentando fácies neurotóxica, midríase, colúria e oligúria. O caso foi classificado como envenenamento grave e aplicado o antiveneno específico. Após quatro dias, o paciente foi transferido para o Hospital Universitário João de Barros Barreto, com evidência de neurotoxicidade, onde foram realizadas medidas de suporte clínico e exames laboratoriais. Foram observadas alterações no hemograma, no coagulograma, nos níveis de ureia, creatinina, transaminases e creatinofosfoquinase, evidenciando rabdomiólise. Apesar do tratamento soroterápico e de suporte clínico terem sido realizados tardiamente, houve evolução para a cura clínica.  CONCLUSÃO: Ressalta-se a importância da soroterapia precoce e a raridade do envenenamento por essa subespécie, cujas características clínicas são as mesmas dos demais acidentes crotálicos relatados no Brasil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVE: Report a case of envenomation by Crotalus durissus marajoensis Hoge, 1966 in Muaná, Marajó archipelago, Pará State, Brazil.  CASE REPORT: Fisherman, 48 years old, bitten by a rattlesnake on his right ankle when walking in the field. After the envenomation, he reported paresthesia without local pain. Then, he experienced heaviness in the head, difficulty in opening his eyes, dysarthria, blurred vision, and diplopia. He was admitted to the Municipal Hospital of Muaná, 9 h after the snake bite, with the mentioned signs and symptoms, plus nausea, dizziness, difficulty in walking, and myalgia. Due to the absence of specific antivenom at the city hospital, the patient was referred to the Municipal Emergency Room in Belém, Pará State, where he arrived after 18 h of the accident, presenting neurotoxic facies, mydriasis, choluria, and oliguria. The case was classified as severe envenomation, and the patient received specific antivenom vaccine. After four days, the patient with evidence of neurotoxicity was transferred to the João de Barros Barreto University Hospital, where clinical support and lab tests were conducted. Changes in complete blood count, coagulation test, levels of urea, creatinine, transaminases, and creatinophosphokinase were observed, showing rhabdomyolysis. Although serotherapeutic treatment and clinical support were done after a long period of time, there was an evolution towards clinical cure.  CONCLUSION: The importance of early serotherapy and the rarity of such envenomation by this subspecies whose clinical features are the same as those of other crotalic accidents reported in Brazil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  OBJETIVO: Relatar un caso de envenenamiento por Crotalus durissus marajoensis Hoge, 1966 en Muaná, archipiélago de Marajó, en el estado de Pará, Brasil.  RELATO DEL CASO: Pescador, 48 años, mordido por cascabel en el tobillo derecho mientras caminaba en área de campo. Luego del envenenamiento, relató parestesia sin dolor local. Enseguida, presentó sensación de peso en la cabeza, dificultad de abrir los párpados, disartria, visión turbia y diplopía. Ingresó al Hospital Municipal de Muaná, 9 h después de la mordedura, con los signos y síntomas referidos, acrecidos de náuseas, mareo, dificultad de deambular y mialgia. Debido a la ausencia del antiveneno específico en el hospital del municipio, el paciente fue encaminado al Pronto Socorro Municipal en Belém de Pará, adonde llegó después de 18 h del accidente, presentando facies neurotóxica, midriasis, coluria y oliguria. El caso se clasificó como envenenamiento grave y se aplicó el antídoto específico. Después de cuatro días, el paciente fue trasladado al Hospital Universitario João de Barros Barreto, con evidencia de neurotoxicidad, donde se realizaron medidas de apoyo clínico y pruebas de laboratorio. Se observaron cambios en los niveles de hemograma, coagulograma, urea, creatinina, transaminasas y creatina fosfocinasa, evidenciando rabdomiólisis. Aunque el tratamiento seroterápico y el apoyo clínico se realizaron tarde, hubo una evolución hacia la curación clínica.  CONCLUSIÓN: Se destaca la importancia de la seroterapia precoz y lo raro del envenenamiento por esa subespecie, cuyas características clínicas son las mismas de los demás accidentes crotálicos relatados en Brasil.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Cascavel]]></kwd>
<kwd lng="pt"><![CDATA[Picada de Cobra]]></kwd>
<kwd lng="pt"><![CDATA[Acidente Ofídico]]></kwd>
<kwd lng="en"><![CDATA[Rattlesnake]]></kwd>
<kwd lng="en"><![CDATA[Snake Bite]]></kwd>
<kwd lng="en"><![CDATA[Ophidian Accident]]></kwd>
<kwd lng="es"><![CDATA[Cascabel]]></kwd>
<kwd lng="es"><![CDATA[Mordida de Serpiente]]></kwd>
<kwd lng="es"><![CDATA[Accidente Ofídico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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