RESUMO
Introduction: Envenomations by non-venomous snakes in Brazil are poorly accounted for and classified as mild, in which pain, erythema and local edema are reported. Objective: To describe accidents by Philodryas olfersii and Hydrodynastes gigas that occurred in the State of Pará, Brazil. Case report: The patient bitten by Philodryas presented bleeding, pain, local edema and axillary adenopathy. The patient bitten by Hydrodynastes had pain, local growing edema, as well as ecchymosis, fever and headache. No laboratory tests were performed. The treatment was based on pain control after identification of the snakes. Conclusion: The local symptomatology of colubrids is similar to accidents with Bothrops. It is important that health professionals perform a correct diagnosis for proper treatment.
Assuntos
Colubridae , Mordeduras de Serpentes , SerpentesRESUMO
Few papers have been published on snake bites caused by Philodryas olfersii. We report here the first case identified at the Centro de Assistência Toxicológica do Hospital da Restauração, Recife, State of Pernambuco. This case was described based on medical protocols, interviewing the patient and identifying the animal that caused the bite. The patient presented pain, heat, erythema, edema and ecchymosis, without other laboratory abnormalities or coagulation disorders. The treatment consisted of administration of eight ampoules of antibothropic serum, and post-administration allergenic reactions were observed. The importance of bites by opistoglyph snakes needs to be reconsidered in research and at specialized treatment centers.
Existem poucas publicações de acidentes ofídicos causados pela espécie Philodryas olfersii. Relatamos aqui o primeiro caso identificado no Centro de Assistência Toxicológica do Hospital da Restauração, Recife, Estado de Pernambuco. A descrição do caso foi realizada com base nos protocolos médicos, entrevista com o paciente e identificação do animal causador do acidente. O paciente apresentou dor, calor, eritema, edema e equimose, sem outras alterações laboratoriais ou distúrbios da coagulação. O tratamento executado mediante a administração de oito ampolas de soro antibotrópico apresentou reações alergênicas pós-administração. A relevância dos acidentes por serpentes opistóglifas deve ser reconsiderada na pesquisa e nos centros de tratamento especializados.