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When to think about a Lachesis muta envenomation in the Western Brazilian Amazon: Lessons from a case report
Jacqueline de Almeida Gonçalves Sachett1,2, Ana Paula Saboia Marinho3, Marizete Melo de Oliveira Santos3
1Universidade do Estado do Amazonas, Manaus, AM, Brasil.
Abstract:
In the Brazilian Amazon, envenomations by lancehead pit vipers prevail across the region, while bushmaster (Lachesis muta) envenomations are rarely confirmed. Here, we described a moderate snakebite, diagnosed as a lancehead pit viper envenomation upon admission and treated with four vials of Bothrops antivenom. Blood remained unclottable for 4 days of hospitalization. On day 4, after admission, the patient presented pictures of the perpetrating snake to the hospital staff, which was identified as a Lachesis muta specimen. After administering 10 vials of Lachesis antivenom, blood became clottable 12 hours after treatment. The patient was discharged without complaints.
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