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Oliveira IS, Ananias CB, Medeiros JM, Franco MVS, Ferreira IG, Cerni FA, Sandri EA, Monteiro WM, Pucca MB. Medical Management after Lancehead Snakebite in North Amazon: A Case Report of Long-Term Disability. Toxins (Basel) 2022; 14:toxins14070494. [PMID: 35878232 PMCID: PMC9319475 DOI: 10.3390/toxins14070494] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 07/08/2022] [Accepted: 07/12/2022] [Indexed: 01/27/2023] Open
Abstract
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. Bothrops (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 Bothrops 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.
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Affiliation(s)
- Isadora S. Oliveira
- Department of BioMolecular Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-903, Brazil; (I.S.O.); (I.G.F.)
| | - Carla B. Ananias
- Medical School, Federal University of Roraima, Boa Vista 69310-000, Brazil; (C.B.A.); (J.M.M.); (M.V.S.F.)
| | - Jilvando M. Medeiros
- Medical School, Federal University of Roraima, Boa Vista 69310-000, Brazil; (C.B.A.); (J.M.M.); (M.V.S.F.)
| | - Michelle V. S. Franco
- Medical School, Federal University of Roraima, Boa Vista 69310-000, Brazil; (C.B.A.); (J.M.M.); (M.V.S.F.)
| | - Isabela G. Ferreira
- Department of BioMolecular Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-903, Brazil; (I.S.O.); (I.G.F.)
| | - Felipe A. Cerni
- Health Sciences Posgraduate Program, Federal University of Roraima, Boa Vista 69310-000, Brazil;
| | - Eliseu A. Sandri
- Insikiram Institute of Indigenous Higher Studies, Federal University of Roraima, Boa Vista 69310-000, Brazil;
| | - Wuelton M. Monteiro
- Department of Teaching and Research, Dr. Heitor Vieira Dourado Tropical Medicine Foundation, Manaus 69040-000, Brazil;
- Department of Medicine and Nursing, School of Health Sciences, Amazonas State University, Manaus 69050-010, Brazil
| | - Manuela B. Pucca
- Medical School, Federal University of Roraima, Boa Vista 69310-000, Brazil; (C.B.A.); (J.M.M.); (M.V.S.F.)
- Health Sciences Posgraduate Program, Federal University of Roraima, Boa Vista 69310-000, Brazil;
- Correspondence: ; Tel.: +55-953-621-3146
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