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[Snake bite by Philodryas chamissonis. A case presentation and literature review]
Patricia Neira O1, Leonor Jofré M, David Oschilewski L
1Escuela de Medicina, Departamento de Preclínicas, Facultad de Medicina, Universidad de Valparaíso, Chile.
Summary
A snake bite from Philodryas chamissonis in Chile caused severe swelling and pain. Prompt treatment with antihistamines, steroids, and analgesics is crucial for managing symptoms and preventing complications.
Area of Science:
- Herpetology
- Toxicology
- Clinical Medicine
Background:
- Chile has two venomous snake species: Philodryas chamissonis and Tachymenis peruviana.
- Snakebite envenomation is a significant public health concern requiring effective management strategies.
Observation:
- A case of Philodryas chamissonis envenomation is presented, occurring during a summer activity.
- The bite site on the hand rapidly progressed to extensive edema, intense pain, headache, nausea, and fever within 24 hours.
- A serohematic bulla formed on the elbow fold, indicating systemic effects of the venom.
Findings:
- The patient experienced severe local and systemic symptoms following the snake bite.
- Treatment involved antihistamines, systemic steroids, analgesia, and antibiotics over a 7-day period.
- Review of other Chilean snakebite cases informs proposed treatment and prevention strategies.
Implications:
- This case highlights the potential severity of Philodryas chamissonis envenomation.
- Effective treatment protocols are essential for improving patient outcomes.
- Public awareness and preventative measures are critical to reduce snakebite incidents in Chile.
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