RESUMO
INTRODUCTION: Bothriechis schlegelii is a Crotaline viperid species of Central America and Northern South America. The characteristics of its envenomation have not been well established. We present clinical characteristics of human cases evaluated and treated in a hospital in southwestern Colombia. METHODS: We evaluated data from patients who suffered Bothriechis schlegelii envenomation and were seen at Fundación Valle del Lili Hospital, Cali, Colombia between 2011 and 2022. RESULTS: Eight patients were included, with a median age of 24 years. Snakebites occurred in rural areas. Six (75%) patients were bitten on the upper extremities in relation to the arboreal habits of this animal. The most common symptoms were pain and edema (N = 8, 100%), ecchymoses (N = 2, 25%), and paresthesia (N = 2, 25%). The most common systemic findings were hypofibrinogenemia (N = 8, 100%) and prolonged prothrombin time in five patients (N = 5, 62.5%). All were treated with polyvalent antivenom for Colombian snakes, with a good response and outcome. CONCLUSIONS: Most bite sites from B. schlegelii were on the upper limbs. All patients had both local manifestations, including edema, pain, and systemic effects with hypofibrinogenemia, but none had systemic bleeding. Every patient received antivenom and had favorable outcomes.
Assuntos
Afibrinogenemia , Bothrops , Crotalinae , Animais , Humanos , Adulto Jovem , Adulto , Colômbia/epidemiologia , Antivenenos/uso terapêutico , Dor/tratamento farmacológico , Dor/etiologia , Edema/etiologiaRESUMO
El suicidio genera gran impacto en la vida de las personas y en la sociedad, ya que la persona fallecida deja huellas de su emocionalidad en el entorno; muchas de estas son altamente subjetivas y complejas de determinar. Para comprender el fenómeno y todo lo que rodea al suicida hasta llevarlo a tomar la decisión, se utiliza una herramienta práctica como la autopsia psicológica, actualmente usada en diversos países ya que brinda una nueva perspectiva en la patología forense y en la criminalística,elaborando una reconstrucción retrospectiva de la vida de la persona fallecida, sus patrones de conducta, personalidad, y más específicamente el estado mental previo, para así poder definir la causa y manera de muerte, tratar de descifrar la motivación de la misma, puesto que en la mayoría de los casos es de una causa dudosa u equívoca.La autopsia psicológica es de gran utilidad porque aporta información para crear perfiles suicidas que ayudan a la detección precoz de factores de riesgo y de esta manera disminuir las muertes por esta causa.La presente revisión de tema tiene por objetivo mostrar la utilidad de la autopsia psicológica en diversos campos para así incrementar su uso, rectificar o cambiar la calificación de la escena y esclarecer las circunstancias de muerte...(AU)
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