Mamba envenomation in mainland France: management of exotic envenomations needs rethinking

Annales Françaises D'anesthèsie Et De Rèanimation
T LeclercB Lenoir

Abstract

We report a case of accidental green mamba (Dendroaspis viridis) envenomation in the suburbs of Paris. Although moderate, neurotoxic symptoms were clearly present. Immunotherapy with polyvalent serum FAV-Afrique was decided, but logistical problems prevented reasonably quick serum delivery to the hospital. Despite a spontaneously favourable outcome probably due to minimal envenomation, this case exemplifies a near-miss of the care system. Given the increasing incidence of potentially life-threatening exotic envenomations, management of similar cases should be improved. Besides breeders and health care professionals' information, we suggest that victims of an exotic envenomation be referred to a facility with experienced staff and ready access to a limited bank of carefully chosen antivenins.

Citations

Jul 30, 2010·La Presse médicale·Astrid DarsonvalPatrick Harry
Apr 15, 2008·Annales Françaises D'anesthèsie Et De Rèanimation·B Debien, G Mion
Oct 1, 2014·Toxins·Brandon J WarrickSteven A Seifert
Jul 6, 2012·Biology Letters·C LuczakR R Kirby
Mar 26, 2015·Bulletin of Entomological Research·J M MedlockF Schaffner
Aug 24, 2017·Case Reports in Critical Care·Verena QuarchLuca Cioccari
Mar 22, 2020·International Journal of Molecular Sciences·Vance G NielsenNathaniel Frank

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