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Case Report: Anaphylactoid Shock Associated with Snakebite Envenoming in Portugal.
- Source :
-
The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2021 Oct 25; Vol. 106 (1), pp. 342-344. Date of Electronic Publication: 2021 Oct 25. - Publication Year :
- 2021
-
Abstract
- Although rare in Portugal, snakebite envenoming entails severe morbidity and mortality. We present the case of a 65-year-old woman bitten on her leg in a northern coastal region in Portugal, on a walk during the COVID-19 pandemic lockdown. Despite first looking for help at the nearest pharmacy, she developed anaphylactoid shock and was promptly driven to a tertiary hospital, where antivenom was administered in a timely manner under close monitoring. Prophylactic antibiotics were started and maintained based on elevated inflammatory markers and signs of wound inflammation. She evolved favorably, with rapid weaning of vasopressors and resolution of end-organ dysfunction. This case highlights the importance of prompt recognition and describes crucial steps in envenomation management in a country where snakebite is infrequent, but potentially fatal.
- Subjects :
- Aged
Anaphylaxis therapy
Anti-Bacterial Agents administration & dosage
Antivenins administration & dosage
Ceftriaxone administration & dosage
Clindamycin administration & dosage
Female
Humans
Portugal epidemiology
Snake Bites therapy
Tetanus Toxoid administration & dosage
Treatment Outcome
Anaphylaxis epidemiology
Anaphylaxis etiology
Snake Bites complications
Snake Bites epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1476-1645
- Volume :
- 106
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The American journal of tropical medicine and hygiene
- Publication Type :
- Report
- Accession number :
- 34695794
- Full Text :
- https://doi.org/10.4269/ajtmh.21-0671