PMID: 9426372Jan 14, 1998Paper

Vipera palaestinae snake envenomations: experience in children

Human & Experimental Toxicology
G ParetZ Barzilay

Abstract

In Israel, Vipera palaestinae (V. palaestinae) is the most common venomous snake, accounting for 100-300 reported cases of envenomation every year. However, V. palaestinae snakebites in children have not been extensively investigated. The demographic features, treatment and outcome of V. palaestinae envenomation in 37 children treated in two medical centers over a 9 year period were retrospectively reviewed. The victims age ranged from 2-18 years with a mean age of 8.9 years. Twenty-nine children were males and eight were females. Twenty-one patients resided in rural areas, and 16 children were living in urban areas. Twenty-three (63%) of the patients were bitten on the lower limb; Twelve (33%) on the upper limb, and two on the head or neck (4%). Using a grading scale of one to three from minimal to severe envenomation, 15 (40.5%), 15 (40.5%) and 7 (19%) patients had mild, moderate and severe envenomation, respectively. Major complications of envenomation that were manifested after arrival consisted of compartment syndrome (two patients) and respiratory dysfunction (two patients). Specific monovalent antiserum for the treatment of V. palaestinae bite was given to 16 children (43%) of whom, four patients were in the severe group...Continue Reading

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Citations

Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Mehmet BozkurtEmin Kapi
Apr 5, 2003·Toxicon : Official Journal of the International Society on Toxinology·Yedidia Bentur, Alfred Cahana
Jun 7, 2014·Toxicon : Official Journal of the International Society on Toxinology·Gil HadarItamar Aroch
Jan 24, 2016·Toxicon : Official Journal of the International Society on Toxinology·Svjetlana KarabuvaBoris Lukšić
Nov 5, 2014·Chest·Ariaranee Gnanathasan, Chaturaka Rodrigo
Mar 31, 2009·The Journal of Emergency Medicine·Yael Lurie, Yedidia Bentur
Jul 1, 2004·Toxicon : Official Journal of the International Society on Toxinology·Yedidia BenturMaya Galperin
Jan 21, 2017·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Dikla Pivko-LevyMiguel Glatstein
Dec 16, 2005·Pediatrics International : Official Journal of the Japan Pediatric Society·Gonca OzayKenan Haspolat
Jun 27, 2020·Journal of Veterinary Emergency and Critical Care·Ran NivyYaron Bruchim
Dec 17, 2011·Toxins·Tatjana MomicPhilip Lazarovici
Aug 27, 2014·Journal of Veterinary Emergency and Critical Care·Itzik LenchnerYaron Bruchim

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