Snakebites in Italy are a rare source of severe medical condition, except in case of venomous snakes. The venom causes both local and/or systemic complication which may determine death in 6-60hours, particularly in children and the elderly. In fact, the same amount of venom affects children more severely than adults because of the reduced total dilution volume in children. The only specific and conflicting therapy for venomous snakebite is to administer the appropriate anti-venom; the remaining therapy is symptomatic and supportive.We describe the case of a 22 months old child who, despite appropriate symptomatic treatment, developed severe signs and an acute compartment syndrome of the right upper limb, a rare complication of venom snakebite. Administration of antivenom and fasciotomy were needed to resolve the acute episode permitting a positive outcome. On the basis of literature review and our experience we hypothesizean algorithm for the treatment of these patients.

Compartment syndrome after viper-bite in toddler:case report and review of literature / Pietrangiolillo, Zaira; Frassoldati, Rossella; V., Leonelli; R., Freschi; A., Russomando; Lucaccioni, Laura; Iughetti, Lorenzo. - In: ACTA BIO-MEDICA DE L'ATENEO PARMENSE. - ISSN 0392-4203. - STAMPA. - 83:1(2012), pp. 44-50.

Compartment syndrome after viper-bite in toddler:case report and review of literature

Pietrangiolillo, Zaira;FRASSOLDATI, Rossella;Lucaccioni, Laura;IUGHETTI, Lorenzo
2012

Abstract

Snakebites in Italy are a rare source of severe medical condition, except in case of venomous snakes. The venom causes both local and/or systemic complication which may determine death in 6-60hours, particularly in children and the elderly. In fact, the same amount of venom affects children more severely than adults because of the reduced total dilution volume in children. The only specific and conflicting therapy for venomous snakebite is to administer the appropriate anti-venom; the remaining therapy is symptomatic and supportive.We describe the case of a 22 months old child who, despite appropriate symptomatic treatment, developed severe signs and an acute compartment syndrome of the right upper limb, a rare complication of venom snakebite. Administration of antivenom and fasciotomy were needed to resolve the acute episode permitting a positive outcome. On the basis of literature review and our experience we hypothesizean algorithm for the treatment of these patients.
2012
83
1
44
50
Compartment syndrome after viper-bite in toddler:case report and review of literature / Pietrangiolillo, Zaira; Frassoldati, Rossella; V., Leonelli; R., Freschi; A., Russomando; Lucaccioni, Laura; Iughetti, Lorenzo. - In: ACTA BIO-MEDICA DE L'ATENEO PARMENSE. - ISSN 0392-4203. - STAMPA. - 83:1(2012), pp. 44-50.
Pietrangiolillo, Zaira; Frassoldati, Rossella; V., Leonelli; R., Freschi; A., Russomando; Lucaccioni, Laura; Iughetti, Lorenzo
File in questo prodotto:
File Dimensione Formato  
pietrangiolillo.pdf

Accesso riservato

Tipologia: Versione pubblicata dall'editore
Dimensione 243.23 kB
Formato Adobe PDF
243.23 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/744538
Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus 15
  • ???jsp.display-item.citation.isi??? ND
social impact