Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom
Administration of antivenom is currently the standard treatment for snake envenomation. However, it can sometimes cause anaphylactic reactions including urticaria, bronchospasm and hypotension. Furthermore, it may also provoke life-threatening complications, even though the mortality rate is less th...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SciELO
2009-01-01
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| Series: | Journal of Venomous Animals and Toxins including Tropical Diseases |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992009000100016 |
| _version_ | 1819102499707027456 |
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| author | M Fujioka K Oka R Kitamura A Yakabe M Ito |
| author_facet | M Fujioka K Oka R Kitamura A Yakabe M Ito |
| author_sort | M Fujioka |
| collection | DOAJ |
| description | Administration of antivenom is currently the standard treatment for snake envenomation. However, it can sometimes cause anaphylactic reactions including urticaria, bronchospasm and hypotension. Furthermore, it may also provoke life-threatening complications, even though the mortality rate is less than 1%. In this study, we present a new treatment - immediate radical fang mark ablation - that was successfully performed on five victims of Japanese viper bites without antivenom use. In these five victims of venomous snakebites, surgical debridement was immediately performed. Two patients received a free-skin graft to resurface their wounds while three of them healed conservatively (i.e. by ointment treatment without surgery). After treatment, all patients could return to work. Immediate radical ablation is a recommended procedure that can reduce the amount of venom in tissues, which consequently decreases inflammatory reactions and reduces the necessity for antivenom. |
| first_indexed | 2024-12-22T01:35:32Z |
| format | Article |
| id | doaj.art-d86e77ce5ce84c289e63235771885d9f |
| institution | Directory Open Access Journal |
| issn | 1678-9199 |
| language | English |
| last_indexed | 2024-12-22T01:35:32Z |
| publishDate | 2009-01-01 |
| publisher | SciELO |
| record_format | Article |
| series | Journal of Venomous Animals and Toxins including Tropical Diseases |
| spelling | doaj.art-d86e77ce5ce84c289e63235771885d9f2022-12-21T18:43:24ZengSciELOJournal of Venomous Animals and Toxins including Tropical Diseases1678-91992009-01-0115116817810.1590/S1678-91992009000100016Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenomM FujiokaK OkaR KitamuraA YakabeM ItoAdministration of antivenom is currently the standard treatment for snake envenomation. However, it can sometimes cause anaphylactic reactions including urticaria, bronchospasm and hypotension. Furthermore, it may also provoke life-threatening complications, even though the mortality rate is less than 1%. In this study, we present a new treatment - immediate radical fang mark ablation - that was successfully performed on five victims of Japanese viper bites without antivenom use. In these five victims of venomous snakebites, surgical debridement was immediately performed. Two patients received a free-skin graft to resurface their wounds while three of them healed conservatively (i.e. by ointment treatment without surgery). After treatment, all patients could return to work. Immediate radical ablation is a recommended procedure that can reduce the amount of venom in tissues, which consequently decreases inflammatory reactions and reduces the necessity for antivenom.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992009000100016ablationviper biteantivenomfang markenvenomation |
| spellingShingle | M Fujioka K Oka R Kitamura A Yakabe M Ito Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom Journal of Venomous Animals and Toxins including Tropical Diseases ablation viper bite antivenom fang mark envenomation |
| title | Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom |
| title_full | Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom |
| title_fullStr | Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom |
| title_full_unstemmed | Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom |
| title_short | Immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom |
| title_sort | immediate radical fang mark ablation may allow treatment of japanese viper bite without antivenom |
| topic | ablation viper bite antivenom fang mark envenomation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992009000100016 |
| work_keys_str_mv | AT mfujioka immediateradicalfangmarkablationmayallowtreatmentofjapaneseviperbitewithoutantivenom AT koka immediateradicalfangmarkablationmayallowtreatmentofjapaneseviperbitewithoutantivenom AT rkitamura immediateradicalfangmarkablationmayallowtreatmentofjapaneseviperbitewithoutantivenom AT ayakabe immediateradicalfangmarkablationmayallowtreatmentofjapaneseviperbitewithoutantivenom AT mito immediateradicalfangmarkablationmayallowtreatmentofjapaneseviperbitewithoutantivenom |