Oral Microbiota of the Snake Bothrops lanceolatus in Martinique

Dabor Résière1, Claude Olive2, Hatem Kallel3

  • 1Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97200 Martinique, France. dabor.resiere@chu-martinique.fr.

Insights

Bacterial infections from Bothrops lanceolatus snakebites in Martinique are polymicrobial. Most oral bacteria were susceptible to third-generation cephalosporins, but resistant to amoxicillin/clavulanate, suggesting improved antibiotic therapy.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Herpetology

Background:

  • Bothrops lanceolatus snakebites in Martinique, though infrequent, can cause severe complications like thrombosis and infections.
  • Infections are suspected to originate from bacteria within the snake's oral cavity.
  • Understanding the oral microbiota of B. lanceolatus is crucial for effective infection management.

Purpose of the Study:

  • To isolate and identify bacteria from the oral cavity of Bothrops lanceolatus.
  • To determine the susceptibility of these bacteria to beta-lactam antibiotics.
  • To inform optimal antibiotic treatment strategies for B. lanceolatus envenomation.

Main Methods:

  • Bacterial samples were collected from the oral cavities of 26 B. lanceolatus specimens in Martinique.
  • Bacteria were isolated, identified using standard microbiological techniques.
  • Antibiotic susceptibility testing was performed, focusing on beta-lactam agents like amoxicillin/clavulanate and third-generation cephalosporins (cefotaxime, ceftazidime).

Main Results:

  • The oral microbiota of B. lanceolatus was polymicrobial, comprising fifteen different bacterial taxa.
  • Aeromonas hydrophyla was the most frequent isolate (50%), followed by Morganella morganii, Klebsiella pneumoniae, Bacillus spp., and Enterococcus spp.
  • A significant proportion (66.7%) of isolates showed resistance to amoxicillin/clavulanate, while most were susceptible to cefotaxime (73.3%) and ceftazidime (80.0%).

Conclusions:

  • The oral cavity of Bothrops lanceolatus harbors a diverse bacterial community.
  • Third-generation cephalosporins are more effective against these bacteria than amoxicillin/clavulanate.
  • First-line antibiotic therapy for B. lanceolatus bite-associated infections should prioritize third-generation cephalosporins over amoxicillin/clavulanate.

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