Envenomation by an opisthoglyphous snake, Erythrolamprus aesculapii (Dipsadidae), in southeastern Brazil

Abstract Snakebites by aglyphous or opisthoglyphous snakes are common in Brazil. We report a case of snakebite by the opisthoglyphous Erythrolamprus aesculapii. The victim presented with pain, edema, and bleeding at the bite site, along with erythema, similar to a Bothrops envenomation. In this type of snakebite, if the snake is not brought to the hospital, the victim may receive unnecessary serum therapy, with the risk of adverse reactions to the antivenom. The possibility of reducing after-effects with anti-inflammatory drugs and early antibiotic therapy for secondary infection need to be further investigated, preferably in multicenter studies, while observing good clinical practice.

Inusual caso de fusión carpo-metacarpiana de origen congénito / Unusual case of carpometacarpial fusion of congenital origin

Se presenta un paciente que acude al cuerpo de guardia de Ortopedia, por haber sufrió un trauma en la mano derecha cuando realizaba labores agrícolas. Se diagnóstico sinostosis total del carpo fusionada con el segundo y tercer metacarpianos, unilateral. El diagnóstico fue casual. Se realizó una revisión de la literatura científica sobre esta entidad y no se encontró caso similar

This paper presented a patient who went to the Emergency Orthopedic Service for a trauma in his right hand that occurred while he was working in farming. The diagnosis was total unilateral synostosis of the carpus fused with the second and third metacarpals. The diagnosis was made by chance. A scientific literature review was made but no other similar case was found

Un patient allant au Service des urgences en orthopédie dû à un traumatisme de la main droite est présenté. Une synostose totale du carpe par soudure unilatérale du deuxième et le troisième métacarpien est diagnostiqué. Le diagnostic est fortuit. Une revue bibliographique sur cette entité a été faite, mais on n'a pas trouvé un cas pareil