A rare consequence of snakebite: A case report and literature review

Q4 Medicine

Trauma Case Reports Pub Date : 2025-05-01 DOI:10.1016/j.tcr.2025.101174

Fadi Aboud , Micheal Assaf , Haim Shtarker

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引用次数: 0

Abstract

Snakebites can have a diverse array of symptoms, manifesting both locally and systemically. Local symptoms include mainly swelling and pain. Rarely some patients can develop compartment syndrome. The symptoms of a snakebite can mimic those of compartment, potentially causing a delay diagnosis and treatment which can lead to devastating and a long-lasting disability.

We present a case of an eight-year-old female who presented with systemic envenomation after a snakebite to her left lower leg. Upon arrival, she received supportive care, including antivenom, and demonstrated a good systemic response. However, her leg swelling and pain gradually worsened. She was examined daily by orthopedic surgeons. Clinical examinations initially showed no signs of compartment syndrome until 68 h after admission, when a passive stretch test became positive, and intra-compartmental pressure was found to be elevated. The patient was promptly taken to the operating room for compartment release. The muscles showed no ischemia and two weeks after the release primary closure was done. This case highlights the importance of clinician vigilance and awareness of the potential for delayed onset of compartment syndrome following a snakebite. Our patient was diagnosed and treated in a timely manner, resulting in complete recovery without permanent disability.

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蛇咬伤的罕见后果：一个病例报告和文献复习

蛇咬伤可以有各种各样的症状，表现为局部和全身。局部症状主要包括肿胀和疼痛。很少有患者会出现筋膜间室综合征。蛇咬伤的症状可以模仿隔间的症状，可能导致延误诊断和治疗，从而导致毁灭性的和长期的残疾。我们提出的情况下，一个八岁的女性谁提出了系统性中毒后，蛇咬伤到她的左小腿。抵达后，她接受了支持性护理，包括抗蛇毒血清，并表现出良好的全身反应。然而，她的腿部肿胀和疼痛逐渐加重。她每天都要接受整形外科医生的检查。入院68小时后，被动拉伸试验呈阳性，发现室内压力升高，临床检查最初未发现室室综合征的迹象。患者立即被送往手术室进行隔室释放。肌肉无缺血，释放后2周进行初级闭合。本病例强调了临床医生警惕和意识到蛇咬伤后可能延迟发作的筋膜室综合征的重要性。我们的病人得到了及时的诊断和治疗，完全康复，没有永久性残疾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.