Snakebites by the Sheltopusik (Pseudopus Apodus) Locally Called Petilus Snake to Humans: a Case Report

A. Bazi, S. Ghasempouri, A. Sahebnasagh, F. Saghafi
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引用次数: 2

Abstract

Background: The vast territory of Iran, due to climate diversity, is a host for various animal species. Snakes may be considered a significant threat to health of the rural regions of Iran. Sheltopusik (Pseudopus apodus), the largest member of the family Anguida, is one of the species of lizard that is considered to be a harmless animal species. This lizard is often mistaken for a faunistic community of reptiles in the area and is well-known as Petilus Snake. To the best of our knowledge, no reports of injury from bites or attacks of this species have previously been published. Case presentation: The present case report is the first report of describing the attack of a sheltopusik to a 40-year-old white female farmer. Due to the lack of primary identification of the damaging animal, it was initially confused with the snakebite, leading to unnecessary administration of anti-venom and tetanus prophylaxis. Discussion: The main reason for this event was the lack of reporting a similar medical harm in the area and the snake-like appearance of the lizard. Acquaintance with this kind of damage to the human health and tissue contusion by the hit can help rational management of such patients without conventional modalities for snakebite like antivenom. Conclusion: The physicians practicing in emergency wards and rural clinics in the area, as the first place of referral, should be trained on proper management of this group of patients to achieve the best clinical outcome.
被当地称为Petilus Snake的Sheltopusik (Pseudopus Apodus)咬伤:一个病例报告
背景:由于气候多样性,伊朗幅员辽阔,是各种动物的栖息地。蛇可能被认为是对伊朗农村地区健康的重大威胁。Sheltopusik(Pseudopus apodus)是蜥蜴科中最大的成员,是被认为是无害动物的蜥蜴之一。这种蜥蜴经常被误认为是该地区的爬行动物群落,被称为Petilus Snake。据我们所知,以前没有发表过该物种被咬伤或袭击受伤的报告。案例介绍:本案例报告是第一份描述sheltopusik袭击一名40岁白人女农民的报告。由于缺乏对受损动物的初步鉴定,最初将其与蛇咬伤混淆,导致不必要地使用抗蛇毒和破伤风预防药物。讨论:这起事件的主要原因是该地区没有报告类似的医疗危害,以及蜥蜴的蛇形外观。了解这种对人类健康的损害和撞击造成的组织挫伤,有助于在没有常规抗蛇毒血清的情况下对此类患者进行合理管理。结论:在该地区急诊病房和乡村诊所执业的医生,作为转诊的第一场所,应该接受对这类患者进行适当管理的培训,以获得最佳的临床结果。
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来源期刊
自引率
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0
审稿时长
12 weeks
期刊介绍: Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.
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