dc.creatorBucaretchi F.
dc.creatorHyslop S.
dc.creatorVieira R.J.
dc.creatorToledo A.S.
dc.creatorMadureira P.R.
dc.creatorDe Capitani E.M.
dc.date2006
dc.date2015-06-30T18:06:29Z
dc.date2015-11-26T14:23:02Z
dc.date2015-06-30T18:06:29Z
dc.date2015-11-26T14:23:02Z
dc.date.accessioned2018-03-28T21:24:59Z
dc.date.available2018-03-28T21:24:59Z
dc.identifier
dc.identifierRevista Do Instituto De Medicina Tropical De Sao Paulo. , v. 48, n. 3, p. 141 - 145, 2006.
dc.identifier364665
dc.identifier10.1590/S0036-46652006000300005
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-33745979203&partnerID=40&md5=92a563086a1b2a71a3e9ea0409c53346
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/103104
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/103104
dc.identifier2-s2.0-33745979203
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1244997
dc.descriptionCoral snakes (Micrurus spp.) are the main representatives of the Elapidae in South America. However, bites by these snakes are uncommon. We retrospectively reviewed the data from 11 individuals bitten by coral snakes over a 20-year period; four were confirmed (snake brought for identification) and seven were highly suspected (neuromuscular manifestations) cases of elapid envenoming. The cases were classified as dry-bite (n = 1, caused by M. lemniscatus; did not receive antivenom), mild (n = 2, local manifestations with no acute myasthenic syndrome; M. frontalis and Micrurus spp.), moderate (n = 5, mild myasthenia) or severe (n = 3, important myasthenia; one of them caused by M. frontalis). The main clinical features upon admission were paresthesia (local, n = 9; generalized, n = 2), local pain (n = 8), palpebral ptosis (n = 8), weakness (n = 4) and inability to stand up (n = 3). No patient developed respiratory failure. Antivenom was used in ten cases, with mild early reactions occurring in three. An anticholinesterase drug was administered in the three severe cases, with a good response in two. No deaths were observed. Despite the high toxicity of coral snake venoms, the prognosis following envenoming is good. In serious bites by M. frontalis or M. lemniscatus, the venom of which acts postsynaptically, anticholinesterases may be useful as an ancillary measure if antivenom is unavailable, if there is a delay in obtaining a sufficient amount, or in those patients given the highest recommended doses of antivenom without improvement of the paralysis or with delayed recovery.
dc.description48
dc.description3
dc.description141
dc.description145
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dc.languageen
dc.publisher
dc.relationRevista do Instituto de Medicina Tropical de Sao Paulo
dc.rightsaberto
dc.sourceScopus
dc.titleBites By Coral Snakes (micrurus Spp.) In Campinas, State Of São Paulo, Southeastern Brazil
dc.typeArtículos de revistas


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