دورية أكاديمية
Rattlesnake envenomation to the face of an infant.
| العنوان: | Rattlesnake envenomation to the face of an infant. |
|---|---|
| المؤلفون: | Richardson WH 3rd; Palmetto Poison Center, University of South Carolina, College of Pharmacy, Columbia, SC, USA. whrichardson@sc.rr.com, Barry JD, Tong TC, Williams SR, Clark RF |
| المصدر: | Pediatric emergency care [Pediatr Emerg Care] 2005 Mar; Vol. 21 (3), pp. 173-6. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8507560 Publication Model: Print Cited Medium: Internet ISSN: 1535-1815 (Electronic) Linking ISSN: 07495161 NLM ISO Abbreviation: Pediatr Emerg Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Baltimore, Md. : Williams & Wilkins, [c1985- |
| مواضيع طبية MeSH: | Crotalus*, Snake Bites/*therapy, Animals ; Emergencies ; Face ; Female ; Humans ; Infant |
| مستخلص: | Background: Mortality from rattlesnake envenomation in the United States is rare. Despite approximately 8000 crotaline (pit vipers) bites annually, it is estimated that only 10 to 15 deaths occur. Besides direct intravascular envenomation and anaphylaxis, bites to the head and neck may account for some of these rare fatalities. We report a pediatric case of severe facial envenomation requiring emergent intubation and antivenom administration. Case Report: A 14-month-old female toddler was envenomated by a Southern Pacific rattlesnake (Crotalus viridis helleri) above the right upper lip while playing in her backyard. Rapid swelling and ecchymosis developed, and the patient was airlifted to a pediatric tertiary care hospital. Within 3 hours, stridorous respirations complicated by significant facial and oropharyngeal edema necessitated emergent orotracheal intubation. A total of 16 vials of FabAV [Crotalidae Polyvalent Immune Fab (ovine) antivenom] were administered over the next 24 hours. The child gradually improved and was successfully extubated 5 days later. A 3-month follow-up demonstrated no significant cosmetic facial abnormalities. Conclusion: Crotaline bites to the head and neck have the potential for significant swelling and airway compromise. Facial bites, anaphylaxis, and rare intravascular envenomation may account for many of the fatalities from rattlesnake envenomation. Early intubation may be required to maintain airway patency. |
| تواريخ الأحداث: | Date Created: 20050304 Date Completed: 20060614 Latest Revision: 20050303 |
| رمز التحديث: | 20221213 |
| PMID: | 15744196 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1535-1815 |
|---|