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1
Chippaux JP, 1984. Snakebites: appraisal of the global situation. Bull World Health Organ 76 :515–524.
-
2
World Health Organization, 2001. Bites and stings due to terrestrial and aquatic animals in Europe. Wkly Epidemiol Rec 76 :290–298.
-
3
Russell FE, Walter FG, Bey TA, Fernandez MC, 1997. Snakes and snakebite in Central America. Toxicon 35 :1469–1522.
-
4
Thomas L, Tyburn B, Bucher B, Pecout F, Ketterlé J, Rieux D, Smadja D, Garnier D, Plumelle Y, and the Research Group on Snake Bites in Martinique, 1995. Prevention of thromboses in human patients with Bothrops lanceolatus envenoming in Martinique: failure of anticoagulants and efficacy of a monospecific antivenom. Am J Trop Med Hyg 5 :419–426.
-
5
Wüster W, Thorpe RS, Salomao MG, Thomas L, Puorto G, Theakston RD, Warrell DA, 2002. Origin and phylogenetic position of the Lesser Antillean species of Bothrops (Serpentes, Viperidae): biogeographical and medical implications. Bull Nat Hist Mus Lond (Zool) 68: 101–106.
-
6
Bucher B, Canonge D, Thomas L, Tyburn B, Robbe-Vincent A, Choumet V, Bon C, Ketterlé J, Lang J, and Members of the Research Group on Snake Bites in Martinique, 1997. Clinical indicators of envenoming and serum levels of venom antigens in patients bitten by Bothrops lanceolatus in Martinique. Trans R Soc Trop Med Hyg 91 :186–190.
-
7
Re G, Trisolino G, Miglio F, 1999. Eye muscle paralysis after Vipera aspis envenomation. J Accid Emerg Med 16 :458.
-
8
Takeshita T, Yamada K, Hanada M, Oda-Ueda N, 2003. Extraocular muscle paresis caused by snakebite. Kobe J Med Sci 49 :11–15.
-
9
Thomas L, Tyburn B, Ketterlé J, Biao T, Mehdaoui H, Moravie V, Rouvel C, Plumelle Y, Bucher B, Canonge D, Marie-Nelly CA, Lang J and Members of the Research Group on Snake Bites in Martinique, 1998. Prognostic significance of clinical grading of patients envenomed by Bothrops lanceolatus in Martinique. Trans R Soc Trop Med Hyg 92 :542–545.
-
10
Mosquera A, Idrovo LA, Tafur A, del Brutto OH, 2003. Stroke following Bothrops spp. snakebite. Neurology 60 :1577–1580.
-
11
Bashir R, Jinkins J, 1985. Cerebral infarction in a young female following snake bite. Stroke 16 :328–330.
-
12
Boviatsis EJ, Kouyialis AT, Papatheodorou G, Gavra M, Korfias S, Sakas DE, 2003. Multiple hemorrhagic brain infarcts after viper envenomation. Am J Trop Med Hyg 68 :253–257.
-
13
Numeric P, Moravie V, Didier M, Chatot-Henry D, Cirille S, Bucher B, Thomas L, 2002. Multiple cerebral infarctions following a snakebite by Bothrops caribbaeus.Am J Trop Med Hyg 67 :287–288.
-
14
Bogarin G, Romero M, Rojas G, Lutsch C, Casadamont M, Lang J, Otero R, Gutierrez JM, 1999. Neutralization by a monospecific Bothrops lanceolatus antivenom, of toxic activities induced by homologous and heterologous Bothrops snake venoms. Toxicon 37 :551–557.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 428 | 355 | 151 |
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| PDF Downloads | 79 | 14 | 2 |
OCCIPITAL INFARCTION REVEALED BY QUADRANOPSIA FOLLOWING SNAKEBITE BY BOTHROPS LANCEOLATUS
HAROLD MERLE
HAROLD MERLE
Department of Ophthalmology, Hematology Laboratory, Department of Neurology, and Emergency Department, University Hospital Center of Fort de France, Fort de France, Martinique
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ANGÉLIQUE DONNIO
ANGÉLIQUE DONNIO
Department of Ophthalmology, Hematology Laboratory, Department of Neurology, and Emergency Department, University Hospital Center of Fort de France, Fort de France, Martinique
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LUCAS AYEBOUA
LUCAS AYEBOUA
Department of Ophthalmology, Hematology Laboratory, Department of Neurology, and Emergency Department, University Hospital Center of Fort de France, Fort de France, Martinique
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YVES PLUMELLE
YVES PLUMELLE
Department of Ophthalmology, Hematology Laboratory, Department of Neurology, and Emergency Department, University Hospital Center of Fort de France, Fort de France, Martinique
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DIDIER SMADJA
DIDIER SMADJA
Department of Ophthalmology, Hematology Laboratory, Department of Neurology, and Emergency Department, University Hospital Center of Fort de France, Fort de France, Martinique
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LAURENT THOMAS
LAURENT THOMAS
Department of Ophthalmology, Hematology Laboratory, Department of Neurology, and Emergency Department, University Hospital Center of Fort de France, Fort de France, Martinique
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We report a case of snakebite in which envenomation was manifested through impairment of the visual field. The patient, a 46-year-old man, was bitten on the right thumb by Bothrops lanceolatus. Treatment with a specific equine antivenom (Bothrofav®) was administered one hour after the bite. With the exception of fang marks, the results of a clinical examination, particularly the neurologic component, were normal. The day after the bite, the patient developed an inferior left lateral homonymous quadranopsia with macular epargne. T2 magnetic resonance imaging showed a right occipital infarction. His condition improved clinically and biologically. This observation of snakebite is the first in which envenomation was accompanied exclusively by an impairment of the visual field. Envenomation by B. lanceolatus is distinct in its incidence of significant thrombotic complications at a distance from the site of the bite.
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-
1
Chippaux JP, 1984. Snakebites: appraisal of the global situation. Bull World Health Organ 76 :515–524.
-
2
World Health Organization, 2001. Bites and stings due to terrestrial and aquatic animals in Europe. Wkly Epidemiol Rec 76 :290–298.
-
3
Russell FE, Walter FG, Bey TA, Fernandez MC, 1997. Snakes and snakebite in Central America. Toxicon 35 :1469–1522.
-
4
Thomas L, Tyburn B, Bucher B, Pecout F, Ketterlé J, Rieux D, Smadja D, Garnier D, Plumelle Y, and the Research Group on Snake Bites in Martinique, 1995. Prevention of thromboses in human patients with Bothrops lanceolatus envenoming in Martinique: failure of anticoagulants and efficacy of a monospecific antivenom. Am J Trop Med Hyg 5 :419–426.
-
5
Wüster W, Thorpe RS, Salomao MG, Thomas L, Puorto G, Theakston RD, Warrell DA, 2002. Origin and phylogenetic position of the Lesser Antillean species of Bothrops (Serpentes, Viperidae): biogeographical and medical implications. Bull Nat Hist Mus Lond (Zool) 68: 101–106.
-
6
Bucher B, Canonge D, Thomas L, Tyburn B, Robbe-Vincent A, Choumet V, Bon C, Ketterlé J, Lang J, and Members of the Research Group on Snake Bites in Martinique, 1997. Clinical indicators of envenoming and serum levels of venom antigens in patients bitten by Bothrops lanceolatus in Martinique. Trans R Soc Trop Med Hyg 91 :186–190.
-
7
Re G, Trisolino G, Miglio F, 1999. Eye muscle paralysis after Vipera aspis envenomation. J Accid Emerg Med 16 :458.
-
8
Takeshita T, Yamada K, Hanada M, Oda-Ueda N, 2003. Extraocular muscle paresis caused by snakebite. Kobe J Med Sci 49 :11–15.
-
9
Thomas L, Tyburn B, Ketterlé J, Biao T, Mehdaoui H, Moravie V, Rouvel C, Plumelle Y, Bucher B, Canonge D, Marie-Nelly CA, Lang J and Members of the Research Group on Snake Bites in Martinique, 1998. Prognostic significance of clinical grading of patients envenomed by Bothrops lanceolatus in Martinique. Trans R Soc Trop Med Hyg 92 :542–545.
-
10
Mosquera A, Idrovo LA, Tafur A, del Brutto OH, 2003. Stroke following Bothrops spp. snakebite. Neurology 60 :1577–1580.
-
11
Bashir R, Jinkins J, 1985. Cerebral infarction in a young female following snake bite. Stroke 16 :328–330.
-
12
Boviatsis EJ, Kouyialis AT, Papatheodorou G, Gavra M, Korfias S, Sakas DE, 2003. Multiple hemorrhagic brain infarcts after viper envenomation. Am J Trop Med Hyg 68 :253–257.
-
13
Numeric P, Moravie V, Didier M, Chatot-Henry D, Cirille S, Bucher B, Thomas L, 2002. Multiple cerebral infarctions following a snakebite by Bothrops caribbaeus.Am J Trop Med Hyg 67 :287–288.
-
14
Bogarin G, Romero M, Rojas G, Lutsch C, Casadamont M, Lang J, Otero R, Gutierrez JM, 1999. Neutralization by a monospecific Bothrops lanceolatus antivenom, of toxic activities induced by homologous and heterologous Bothrops snake venoms. Toxicon 37 :551–557.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 428 | 355 | 151 |
| Full Text Views | 255 | 12 | 2 |
| PDF Downloads | 79 | 14 | 2 |