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[Compartment syndrome following adder bites].

Casper Roed1, Lasse Bayer, Anne-Mette Kjaer Lebech

  • 1Epidemiklinikken, Rigshospitalet, DK-2100 København Ø. casper.roed@rh.regionh.dk

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PubMed
Summary
This summary is machine-generated.

Adder (Vipera berus) bites can cause severe swelling and compartment syndrome, a rare but serious complication. Prompt recognition of compartment syndrome symptoms is crucial for limb salvage in children.

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Area of Science:

  • Toxicology
  • Pediatric Medicine
  • Surgical Complications

Background:

  • Adder (Vipera berus) bites can lead to severe systemic and local effects, including significant swelling.
  • Compartment syndrome is a rare but critical complication following venomous snakebites.
  • Early recognition and intervention are vital for preventing permanent tissue damage and limb loss.

Observation:

  • Two pediatric cases of Vipera berus envenomation are presented.
  • Both patients, aged seven and eleven, developed compartment syndrome requiring fasciotomy.
  • The bites occurred on the fifth toe and thumb, respectively, affecting lower and upper limbs.

Findings:

  • Compartment syndrome is an under-recognized complication of adder bites in children.
  • Classical signs and symptoms of compartment syndrome are sufficient indications for surgical intervention.
  • Compartment pressure measurement can aid in the diagnosis of compartment syndrome in pediatric patients.

Implications:

  • This study highlights the importance of considering compartment syndrome in pediatric patients with adder bites.
  • Prompt surgical decompression (fasciotomy) is essential for limb salvage.
  • Clinicians should be vigilant for compartment syndrome and utilize pressure monitoring when necessary in children.