Nederlands tijdschrift voor geneeskunde · 2017
[Bitten by an exotic venomous snake].
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Dijkman M A, de Vries I, van Dam M, de Lange D W
Аннотация
BACKGROUND: Patients who have been bitten by an exotic venomous snake are at risk of severe morbidity and a fatal outcome following an incorrect risk-assessment. Treatment with an antivenom can be necessary and can turn out to be lifesaving. In the Netherlands there are only a few cases of bites from exotic venomous snakes each year.
CASE DESCRIPTION: A 28-year-old man presented at the emergency department (ED) after having been bitten by a monocled cobra (Naja kaouthia). Here he developed severe neurotoxicity with respiratory insufficiency requiring intubation and mechanical ventilation. The patient was successfully treated with an antivenom.
CONCLUSION: An exotic snakebite victim is always a medical emergency. With early presentation at the ED, proper assessment, treatment and the availability of antivenom from the National Serum Depot, this will not necessarily cause insurmountable problems.
CASE DESCRIPTION: A 28-year-old man presented at the emergency department (ED) after having been bitten by a monocled cobra (Naja kaouthia). Here he developed severe neurotoxicity with respiratory insufficiency requiring intubation and mechanical ventilation. The patient was successfully treated with an antivenom.
CONCLUSION: An exotic snakebite victim is always a medical emergency. With early presentation at the ED, proper assessment, treatment and the availability of antivenom from the National Serum Depot, this will not necessarily cause insurmountable problems.