Volume 100, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



, a highly venomous pit viper distributed from Colombia and northwestern Peru in South America to southern Mexico, is responsible for most snake bites in Central America, affecting especially young agricultural workers. A 17-year-old male from a rural area in northern Honduras was admitted at San Francisco Hospital after a bite that had occurred 3 days earlier. The puncture wounds were located on the first toe of the right foot. On the second day of admission, the patient developed dyspnea. A physical examination revealed hypoventilation of the left lung with dullness on 75% of the left lung. Left pleural effusion, approximately 90%, was observed on the chest X-ray. The patient was diagnosed with hemothorax, and a thoracostomy drained 1,350 mL of serosanguineous fluid, followed by the installation of a wet suction control system (Pleur-evac). After 10 days, the patient was discharged. This case illustrates the diversity of hemorrhagic manifestations in envenomations by .


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  • Received : 15 Oct 2018
  • Accepted : 26 Nov 2018
  • Published online : 26 Dec 2018

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