Report of ophidic accident due to dry bite of a poisonous snake

Authors

Keywords:

dry bite, poisoning, no poisoning, poisonous snake bite, antivenom

Abstract

Introduction: Dry venomous snake bites constitute a rare health emergency in toxicological practice.

Objective: To describe three cases of dry venomous snakebite in an effort to raise awareness among health professionals about the incidence of this unique little-researched medical enigma.

Clinical cases: A series of three cases that went to the emergency department for being victims of a venomous snake bite that did not present clinical and laboratory manifestations of local or systemic poisoning after 12 to 24 hours after the bite, compatible with the bite, is presented. similarly, they progressed satisfactorily with supportive or symptomatic treatment without the use of traditional medicine, treatment without proven scientific evidence, or the administration of antivenoms without a sensible choice in the context of the severity and clinical evolution of the disease. chart.

Conclusions: It is important to diagnose and report dry bites due to its implications in the therapeutic approach, particularly with the decision to put an end to the practice of inappropriate use of antivenoms based on the risk-benefit that this procedure would bring to the patient.

Downloads

Download data is not yet available.

Author Biography

José Miguel Rodríguez Perón, Universidad de Ciencias Médicas de las FAR

Especialista de segundo grado en medicina interna Especialista de segundo grado en Medicina Intensiva y Emergencia Profesor titular Investigador Titular Jefe Departamento de Especialidades médicas de la Universidad de Ciencias medicas de las FAR

References

World Health Organization WHO. Snakebite envenoming. OMS-OPS. 2022 [acceso 15/02/2023]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/snakebite-envenoming

Basnyat B, Shilpakar O. Snakebite envenoming: a hidden health crisis. Lancet Glob Health. 2022 [acceso 11/01/2023];10(3):311-2. Disponible en: https://www.thelancet.com/action/showPdf?pii=S2214-109X%2822%2900029-8

Farooq H, Bero C, Guilengue Y, Elias C, Massingue Y, Mucopote I, et al. Snakebite incidence in rural sub-Saharan Africa might be severely underestimated. Toxicon. 2022 [acceso 11/01/2023];219:1-7. Disponible en: https://www.sciencedirect.com/science/article/pii/S004101012200277X

Pucca MB, Knudsen C, Oliveira IS, Rimbault Ch, Cerni FA, Hui Wen F, et al. Current Knowledge on Snake Dry Bites. Toxins (Basel). 2020 [11/01/2021];12(11):668. Disponible en: https://www.researchgate.net/publication/344809664_toxins_Current_Knowledge_on_Snake_Dry_Bites

Naik BS. “Dry bite” in venomous snakes: A review. Toxicon. 2017 [11/01/2021];133:63-7. Disponible en: https://static1.squarespace.com/static/54694fa6e4b0eaec4530f99d/t/59ca860c12abd9e9dab524e9/1506444813088/“Dry+bite”+in+venomous+snakes-+A+review.pdf

Bhargava S, Kumari K, Sarin RK, Singh R. First-hand knowledge about snakes and snake-bite management: an urgent need. Nagoya J Med Sci. 2020 [acceso 09/01/2021];82(4):763-74. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719453/

Fayrer J. Case of Rattlesnake Bite in London. Br Med J. 1892 [acceso 09/01/2021];2(1657):728. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2421146/pdf/brmedj08867-0004a.pdf

Maguiña-Vargas C, Chincha-Lino O, Vilcapoma-Balbín P, Morante D. Actualización en clínica y terapia de mordedura de serpiente (ofidismo). Rev Med Hered. 2020 [acceso 09/01/2021];31(1):48-55. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2020000100048

Published

2024-11-19

How to Cite

1.
Rodríguez Perón JM. Report of ophidic accident due to dry bite of a poisonous snake. Rev Cuba Med Tropical [Internet]. 2024 Nov. 19 [cited 2025 Feb. 21];76. Available from: https://revmedtropical.sld.cu/index.php/medtropical/article/view/1043

Issue

Section

Presentaciones de casos