Óbitos por serpentes peçonhentas no Estado de São Paulo: avaliação de 43 casos, 1988/93

Abstract

RESUMO -São ainda mal estabelecidos os fato-RESUMO -São ainda mal estabelecidos os fato-RESUMO -São ainda mal estabelecidos os fato-RESUMO -São ainda mal estabelecidos os fato-RESUMO -São ainda mal estabelecidos os fatores prognósticos para a ocorrência de óbito nos res prognósticos para a ocorrência de óbito nos res prognósticos para a ocorrência de óbito nos res prognósticos para a ocorrência de óbito nos res prognósticos para a ocorrência de

Accidents With Poisonous Animals in Brazil by Age and Sex

“…As already reported in other studies on snakebites, 7,20 higher lethality rates were observed in the elderly and in children. Adults over age 50 are more likely to develop renal failure and adults over 60 are more likely to present with necrosis in the bite region.…”

“…5,6 The lethality of snakebite is 0.44%, 4 and there is an association between the severity of cases and age (children under 10 years and older adults experience the worst consequences). [7][8][9] The scorpions of medical interest in Brazil belong to the genus Tityus; three main species are responsible for serious, even fatal, poisonings in humans in the South, Southeast, Midwest and Northeast Brazil 6,10 : T. bahiensis (brazilian scorpion), T. serrulatus (yellow scorpion) and T. stigmurus.…”

Insuficiência múltipla de órgãos relacionada a acidente ofídico: relato de caso

“…2010; 22(4):399-402 in 28 patients (65% of the deaths). (9) Studying only the patients admitted to intensive care units with this diagnosis, Silva et al found a mortality rate of 20%. (10) Pinho et al, in a prospective study of 100 Crotalus snake poisoning cases found acute renal failure in 25% of the patients.…”

“…(8) Adult acute respiratory distress syndrome (ARDS) and multi-organ systems failure (MOSF) are described as rare. (3,4,9) The mortality rate is low, around 0.5% of the cases, and the type of poisoning and time to therapy may increase mortality up to 8 folds. (1,(3)(4)(5)(6)9) This report aims the description of an ophidian accident case, caused by a Bothrops gender snake, involving ARDS and MOSF, as well as to discuss the therapeutic approach.…”

Fatores associados à incoagulabilidade sangüínea no envenenamento por serpentes do gênero Bothrops

“…O distúrbio da coagulação é, provavelmente, a manifestação sistêmica mais comum que, às vezes, exterioriza-se clinicamente por sangramentos distantes dos ferimentos causados pelos dentes inoculadores 42 . O óbito ocorre em casos de envenenamentos graves em pacientes que apresentam insuficiência renal, respiratória e choque 37 . A maioria, entretanto, evolui para a cura sem seqüelas 31 34 42 .…”