Morsure par vipere bitis arietans au Senegal; interet de la mesure de pression intracompartimentale
Médecine Tropicale
; 64(2): 187-191, 2004.
Article
in French
| AIM
| ID: biblio-1266656
Responsible library:
CG1.1
RESUMO
The purpose of this report is to describe a case of seve re snake bite with enve n o m ation by an A f rican puff adder(Bitis arietans). Presenting symptoms warranted administration of antivenon upon admission. The patient's ge n e ral condition improved. However bite-related trauma caused extensive phlyctenuar edema of the lower extremity with a high risk of compartimental syndrome due to hardening and compression. Due to the high risk for postoperative infection at our facility; apon ev ro t o my to relief pressure was not undert a ken immediately. Instead management consisted in close surveillance with rep e ated measurement of peripheral pulses by Doppler ultrasound and of intracompartimental pressure. The outcome was favo rabl e without need for aponevro t o my. This case demonstrates the value of intra c o m p a rtimental pressure measurement in cases invo lving this type of envenomation in function of available technical facilities
Full text:
Available
Index:
AIM (Africa)
Main subject:
Snake Bites
/
Viperidae
Language:
French
Journal:
Médecine Tropicale
Year:
2004
Type:
Article
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