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Early-Onset Respiratory Muscle Paralysis in Crotalic Envenomation: A Case Study
Almeida, Juliana Sartorelo; Possas, Felipe Carvalhaes; de Andrade Filho, Adebal; Sauzen, Samir de Oliveira; Sugino, Rodrigo Ganem.
Affiliation
  • Almeida, Juliana Sartorelo; Hospital João XXIII. Centro de Informação e Assistência Toxicológica de Minas Gerais. Belo Horizonte. BR
  • Possas, Felipe Carvalhaes; Hospital João XXIII. Centro de Informação e Assistência Toxicológica de Minas Gerais. Belo Horizonte. BR
  • de Andrade Filho, Adebal; Hospital João XXIII. Centro de Informação e Assistência Toxicológica de Minas Gerais. Belo Horizonte. BR
  • Sauzen, Samir de Oliveira; Hospital João XXIII. Centro de Informação e Assistência Toxicológica de Minas Gerais. Belo Horizonte. BR
  • Sugino, Rodrigo Ganem; Universidade Federal de São Paulo. São Paulo. BR
Rev. Soc. Bras. Med. Trop ; Rev. Soc. Bras. Med. Trop;56: e0374, 2023. tab, graf
Article in En | LILACS-Express | LILACS | ID: biblio-1521616
Responsible library: BR1.1
ABSTRACT
ABSTRACT Crotalic envenomation is responsible for approximately 8%-13% of ophidism cases in Brazil, yet it is associated with the highest mortality among snakes. We describe the case of a patient bitten by a rattlesnake who developed ventilatory muscle paralysis within hours after envenomation. While diaphragmatic paralysis is a rare late neurotoxic event following crotalic envenomation, in this case, paralysis occurred early but was rapidly reversed after antivenom administration. This report discusses potential contributing factors based on a comprehensive literature review.
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Full text: 1 Index: LILACS Language: En Journal: Rev. Soc. Bras. Med. Trop Journal subject: MEDICINA TROPICAL Year: 2023 Type: Article
Fulltext
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Full text: 1 Index: LILACS Language: En Journal: Rev. Soc. Bras. Med. Trop Journal subject: MEDICINA TROPICAL Year: 2023 Type: Article