儿童疑似被蛇咬伤后颅内出血导致脑死亡。

IF 1.8 4区 医学 Q2 PARASITOLOGY Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI:10.1590/0037-8682-0264-2024
Heloisa Dellandrea, Camilo Molino Guidoni, Arnildo Linck Junior, Edmarlon Girotto
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引用次数: 0

摘要

来自Bothrops属的蛇咬伤是常见的,在巴西是造成最高死亡率的原因。该病的种类、治疗方法、患者等因素影响其临床表现和预后。无合并症的年轻患者预后较好,很少发生严重的全身并发症。本报告讨论了一例11岁男孩因可能的Bothrops蛇咬伤后颅内高压而脑死亡的病例。尽管接受了抗蛇毒血清治疗,患者还是出现了癫痫发作、精神混乱和意识下降的情况。尸检、流行病学、临床表现和实验室结果表明,死因是蛇咬伤,症状不同寻常。
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Brain death due to intracranial hemorrhage in a child following suspected Bothrops snakebite.

Snakebites from the genus Bothrops are common and are responsible for the highest mortality rate in Brazil. Factors related to the species, treatment, and patient influence the clinical manifestations and prognosis of the condition. Young patients without comorbidities have better prognoses and rarely develop severe systemic complications. This report discusses a case of brain death of an 11-year-old boy due to intracranial hypertension following possible Bothrops snakebite. Despite receiving antivenom therapy, the patient experienced seizures, mental confusion, and decreased consciousness. Autopsy, epidemiology, clinical presentation, and laboratory results indicated a snakebite with unconventional symptoms as the cause of death.

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来源期刊
CiteScore
3.40
自引率
10.00%
发文量
195
审稿时长
3-8 weeks
期刊介绍: The Journal of the Brazilian Society of Tropical Medicine (JBSTM) isan official journal of the Brazilian Society of Tropical Medicine) with open access. It is amultidisciplinary journal that publishes original researches related totropical diseases, preventive medicine, public health, infectious diseasesand related matters. Preference for publication will be given to articlesreporting original observations or researches. The journal has a peer-reviewsystem for articles acceptance and its periodicity is bimonthly. The Journalof the Brazilian Society of Tropical Medicine is published in English.The journal invites to publication Major Articles, Editorials, Reviewand Mini-Review Articles, Short Communications, Case Reports, TechnicalReports, Images in Infectious Diseases, Letters, Supplements and Obituaries.
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