Journal of Venomous Animals and Toxins including Tropical Diseases (Jan 2012)

Snakebite on the hand: lessons from two clinical cases illustrating difficulties of surgical indication

  • S Gras,
  • G Plantefève,
  • F Baud,
  • JP Chippaux

DOI
https://doi.org/10.1590/S1678-91992012000400019
Journal volume & issue
Vol. 18, no. 4
pp. 467 – 477

Abstract

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Snakebite is a particularly important health problem in rural areas of tropical regions. A large number of victims survive with permanent physical sequelae due to local tissue necrosis. However, necrosis may be associated with compartment syndrome especially when the bite is on the hands or feet. Herein, we describe two cases reported at a rural district hospital in Central African Republic. The present study suggests that active multidisciplinary management may improve patient prognosis while evidencing how difficult it is to decide on surgical intervention.

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