首次报告西鞭蛇(Hierophis viridiflavus carbonarius (Bonaparte 1833))(蛇类,眼镜蛇科)长时间咬人导致局部明显水肿的病例

Ignazio Avella, Fabio Savini, M. D. Di Nicola
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摘要

尽管已经对蛇毒进行了广泛的研究,但人们对无前獠牙的大腹蛇咬伤后的影响仍不甚了解,尤其是对医学意义不确定的物种。西鞭蛇(Hierophis viridiflavus)是一种通常被归类为无毒且对人类无害的大腹蛇。尽管如此,旧作中关于该物种存在杜氏腺体的报道还是让人对其无毒的假定产生了疑问。本报告介绍了第一例发生在意大利的野生西鞭蛇(Hierophis viridiflavus carbonarius)长时间咬人的病例,并详细描述了所造成的影响。被咬者的主要症状是无痛、明显的局部水肿,在咬伤后 24 小时内消退。本研究中观察到的临床表现表明,毒蜥有可能造成咬伤,导致轻微的局部影响,这与毒液中毒是一致的。
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First report of a prolonged bite by a Western Whip Snake, Hierophis viridiflavus carbonarius (Bonaparte 1833) (Serpentes, Colubridae), resulting in pronounced local oedema
Although extensive research has been conducted on snake venoms, the effects of bites inflicted by non-front-fanged colubroid snakes remain incompletely understood, particularly for species of uncertain medical relevance. The Western Whip Snake (Hierophis viridiflavus) is a colubrid snake typically classified as non-venomous and harmless to humans. Nevertheless, old works reporting the presence of Duvernoy's glands in this species raise questions regarding its presumed lack of venom. This report presents the first case of a prolonged bite from a wild Western Whip Snake (Hierophis viridiflavus carbonarius) that occurred in Italy, and provides a detailed account of the resulting effects. The primary symptom experienced by the bitten subject was painless, marked local oedema, which subsided within 24h after the bite. The clinical manifestations observed in the current study suggest that Hierophis viridiflavus could have the potential to inflict bites that lead to mild local effects consistent with envenoming.
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