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Medical Management after Lancehead Snakebite in North Amazon: A Case Report of Long-Term Disability

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Author(s):
Oliveira, Isadora S. ; Ananias, Carla B. ; Medeiros, Jilvando M. ; Franco, Michelle V. S. ; Ferreira, Isabela G. ; Cerni, Felipe A. ; Sandri, Eliseu A. ; Monteiro, Wuelton M. ; Pucca, Manuela B.
Total Authors: 9
Document type: Journal article
Source: TOXINS; v. 14, n. 7, p. 9-pg., 2022-07-01.
Abstract

Snakebites are a major public health problem in indigenous communities in Brazil, leading to acute local and systemic damage with resulting deficiencies. Long-term musculoskeletal disabilities related to snakebites have been a neglected area of research. Bothrops (lancehead) snakes are responsible for most of the permanent sequelae related to snakebites in Latin America. Here, we present a case report of a 32-year-old male indigenous patient who was envenomed by a Bothrops species. The patient was clinically followed for a period of approximately 2 years and 6 months, during which time he experienced a loss of musculoskeletal tissue and required several medical procedures such as debridement, tissue reconstruction, and physical therapy, which resulted in a recovery of mobility, though with a permanent sequelae in gait. This case report shows how snakebites have a significant impact on health systems, as victims require physiotherapy, plastic surgery, and orthopedics services, as well as social support for reintegration into their local communities. (AU)

FAPESP's process: 20/13176-3 - Human monoclonal antibodies (scFv) discovery with cross-reactivity and pH-dependent to metalloproteases from Bothrops spp
Grantee:Isadora Sousa de Oliveira
Support Opportunities: Scholarships in Brazil - Post-Doctoral