Bothrops Snakebite Envenomings in the Amazon Region

Résière, Dabor; Monteiro, Wuelton Marcelo; Houcke, Stéphanie; Pujo, Jean Marc; Mathien, Cyrille; Mayence, Claire; Nevière, Rémi; Hommel, Didier; Sachett, Jacqueline de Almeida Gonçalves; Mehdaoui, Hossein; Gutiérrez, José Marı́a; Kallel, Hatem

doi:10.1007/s40475-020-00203-4

Cited by 19 publications

(26 citation statements)

References 66 publications

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“…In Guyana, for example, health authorities have only recently announced the acquisition of antivenoms (the polyvalent antivenom PoliVal-ICP, Instituto Clodomiro Picado, Costa Rica), which are available only in Georgetown, the country’s capital ( 164 ). The country has one of the highest case fatality rates (~ 8%) on the continent, which is explained by the fact that few patients visit the health facilities offering proper treatment ( 165 ). Envenomings by C. d. ruruima are reported in the Guianan savanna, especially in the Lethem region, on the border with Brazil ( 59 ).…”

Section: Therapeutics Against C D Ruruima Envenomingsmentioning

confidence: 99%

“…In (164). The country has one of the highest case fatality rates (~8%) on the continent, which is explained by the fact that few patients visit the health facilities offering proper treatment (165). Envenomings by C. d. ruruima are reported in the Guianan savanna, especially in the Lethem region, on the border with Brazil (59).…”

Section: Therapeutics Against C D Ruruima Envenomings Specific Treatmentmentioning

confidence: 99%

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Crotalus Durissus Ruruima: Current Knowledge on Natural History, Medical Importance, and Clinical Toxinology

Pucca

Bernarde

Rocha³

et al. 2021

Front. Immunol.

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Crotalus durissus ruruima is a rattlesnake subspecies mainly found in Roraima, the northernmost state of Brazil. Envenomings caused by this subspecies lead to severe clinical manifestations (e.g. respiratory muscle paralysis, rhabdomyolysis, and acute renal failure) that can lead to the victim’s death. In this review, we comprehensively describe C. d. ruruima biology and the challenges this subspecies poses for human health, including morphology, distribution, epidemiology, venom cocktail, clinical envenoming, and the current and future specific treatment of envenomings by this snake. Moreover, this review presents maps of the distribution of the snake subspecies and evidence that this species is responsible for some of the most severe envenomings in the country and causes the highest lethality rates. Finally, we also discuss the efficacy of the Brazilian horse-derived antivenoms to treat C. d. ruruima envenomings in Roraima state.

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Section: Therapeutics Against C D Ruruima Envenomingsmentioning

confidence: 99%

Section: Therapeutics Against C D Ruruima Envenomings Specific Treatmentmentioning

confidence: 99%

Crotalus Durissus Ruruima: Current Knowledge on Natural History, Medical Importance, and Clinical Toxinology

Pucca

Bernarde

Rocha³

et al. 2021

Front. Immunol.

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“…Indeed, during the last five years, 450 gunshot injuries were recorded only in Cayenne, French Guiana. Envenoming, mainly snake bites, is frequent in Martinique and French Guiana ( 9 – 11 ), and its treatment requires specific knowledge and a critical care environment ( 11 , 12 ). Moreover, the prevalence of obesity, diabetes, and cardiovascular diseases in the FTA is among the highest in France ( 13 – 15 ).…”

Section: Specificities In Critical Carementioning

confidence: 99%

“…However, there is no formalized cooperation established between French Guiana and neighboring countries. Recently, cooperation with health authorities in Brazil has allowed experience exchange and patient management, mainly in the field of animal envenoming ( 12 , 24 ).…”

Section: Cooperation With Neighboring Countriesmentioning

confidence: 99%

Critical care medicine in the French Territories in the Americas: Current situation and prospects

Kallel

Résière

Houcke

et al. 2021

Revista Panamericana De Salud Pública

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Hospitals in the French Territories in the Americas (FTA) work according to international and French standards. This paper aims to describe different aspects of critical care in the FTA. For this, we reviewed official information about population size and intensive care unit (ICU) bed capacity in the FTA and literature on FTA ICU specificities. Persons living in or visiting the FTA are exposed to specific risks, mainly severe road traffic injuries, envenoming, stab or ballistic wounds, and emergent tropical infectious diseases. These diseases may require specific knowledge and critical care management. However, there are not enough ICU beds in the FTA. Indeed, there are 7.2 ICU beds/100 000 population in Guadeloupe, 7.2 in Martinique, and 4.5 in French Guiana. In addition, seriously ill patients in remote areas regularly have to be transferred, most often by helicopter, resulting in a delay in admission to intensive care. The COVID-19 crisis has shown that the health care system in the FTA is unready to face such an epidemic and that intensive care bed capacity must be increased. In conclusion, the critical care sector in the FTA requires upgrading of infrastructure, human resources, and equipment as well as enhancement of multidisciplinary care. Also needed are promotion of training, research, and regional and international medical and scientific cooperation.

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“…In Guyana, for example, health authorities have only recently announced the acquisition of antivenoms (the polyvalent antivenom PoliVal-ICP, Instituto Clodomiro Picado, Costa Rica), which are available only in Georgetown, the country's capital [164]. The country has one of the highest case fatality rates (~ 8%) on the continent, which is explained by the fact that few patients visit the health facilities offering proper treatment [165]. Envenomings by C. d. ruruima are reported in the Guianan www.videleaf.com savanna, especially in the Lethem region, on the border with Brazil [59].…”

Section: Therapeutics Against C D Ruruima Envenomings Specific Treatmentmentioning

confidence: 99%

Crotalus Durissus Ruruima: Current Knowledge on Natural History, Medical Importance, and Clinical Toxinology

Pucca¹,

Bernarde²,

Rocha³

et al. 2021

Prime Archives in Immunology

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Crotalus durissus ruruima is a rattlesnake subspecies mainly found in Roraima, the northernmost state of Brazil. Envenomings caused by this subspecies lead to severe clinical manifestations (e.g. respiratory muscle paralysis, rhabdomyolysis, and acute renal failure) that can lead to the victim's death. In this review we comprehensively describe C. d. ruruima biology and the challenges this subspecies poses for human health, including morphology, distribution, epidemiology, venom cocktail, clinical envenoming, and the current and future specific treatment of envenomings by this snake. Moreover, this review presents maps of the distribution of the snake subspecies and evidence that this species is responsible Prime Archives in Immunology: 2 nd Edition 4 www.videleaf.com for some of the most severe envenomings in the country and causes the highest lethality rates. Finally, we also discuss the efficacy of the Brazilian horse-derived antivenoms to treat C. d. ruruima envenomings in Roraima state.

show abstract

Bothrops Snakebite Envenomings in the Amazon Region

Cited by 19 publications

References 66 publications

Crotalus Durissus Ruruima: Current Knowledge on Natural History, Medical Importance, and Clinical Toxinology

Crotalus Durissus Ruruima: Current Knowledge on Natural History, Medical Importance, and Clinical Toxinology

Critical care medicine in the French Territories in the Americas: Current situation and prospects

Crotalus Durissus Ruruima: Current Knowledge on Natural History, Medical Importance, and Clinical Toxinology

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