Case Report
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A Viper bite in an urban area : A case report

Year 2022, Volume: 35 Issue: 3, 367 - 371, 31.10.2022

Hasan Demır Aykut Ozkan Melis Efeoglu Sacak Nurseli Bayram Boran Isın Unal Cansu Tırıs Murat Gol Arzu Denızbası

https://doi.org/10.5472/marumj.1191161

Abstract

Envenomous viper snakes are not natural inhabitants of Istanbul, Turkey. The city is crowded and lacks an appropriate area for wild
life. Viper snakes are mostly found in southern and middle rural Anatolia in Turkey. To our knowledge, viper bites have not been
reported in our urban area previously. Here, we report a envenomous snakebite case, treated with polyvalent antivenom successfully.
The snake was identified as Vipera Pontica, by the National Poisons Center.

Keywords

Viper Snakebite Venoms Antivenins

References

  • Bozkurt M, Kulahci Y, Zor F, Kapi E. The management of pit viper envenomation of the hand. HAND 2008;3:324-31. doi: 10.1007/s11552-008-9114-2.
  • Ertem K. Venomous snake bite in Turkey. First aid and treatment. Eur J Gen Med 2004;1:1-6. doi: 10.29333/ejgm/82236.
  • Paolino G, Di Nicola MR, Pontara A, et al. Vipera snakebite in Europe: a systematic review of a neglected disease. JEADV 2020;34:2247-60. doi : 10.1111/jdv.16722.
  • Warrell DA. Venomous bites, stings, and poisoning: an update. Infect Dis Clin N Am 2019;33:17-38. doi: 10.1016/j.idc.2018.10.001.
  • Gülen M , Satar S , Yeşiloğlu Ö , İnce Ç , Esen Cİ , Acehan S. Comparison of two types of polyvalent snake antivenom used in treatment. Cukurova Med J 2020; 45:1230-7. doi: 10.17826/cumj.737922.
  • Scharman EJ, Noffsinger VD. Copperhead snakebites: Clinical severity of local effects. Ann Emerg Med 2001; 38:55-61. doi : 10.1067/mem.2001.116148.
  • Lamas A, Fragoso J, Ferreira M, Cipriano A, Alves R. Case report: Anaphylactoid shock associated with snakebite envenoming in Portugal. Am J Trop Med Hyg 2021;106: 342-44. doi: 10.4269/ajtmh.21-0671.
  • Chippaux JP. Epidemiology of snakebites in Europe: a systematic review of the literature. Toxicon 2012; 59:86-99. doi: 10.1016/j.toxicon.2011.10.008.
  • White J. Snakebites worldwide: Management. www.uptodate.com Literature review current through: Jan 2021. (Access date : 03.13.2021)
  • Lu ZY, Wang XD, Yan J, Ni XL, Hu SP. Critical lower extremity ischemia after snakebite: A case report. World J Clin Cases 2021;9:7857-62. doi:10.12998/wjcc.v9.i26.7857.
  • Habib AG. Tetanus complicating snakebite in northern Nigeria: clinical presentation and public health implications. Acta Trop 2003 Jan;85(1):87-91. doi: 10.1016/s0001-706x(02)00234-6. PMID: 12505187.
  • World Health Organization. Venomous snakes distribution and species risk categories. Geneva, WHO: 2016. (Accessed: 03.13.2021).
  • Persson H. Envenoming by European vipers antivenom treatment- influence on morbidity. Prz Lek 2001;58:223-5.
  • Lamb T, de Haro L, Lonati D, Brvar M, Eddleston M. Antivenom for European Vipera species envenoming. Clin Toxicol 2017; 55:557-68. doi: 10.1080/15563650.2017.1300261.

Year 2022, Volume: 35 Issue: 3, 367 - 371, 31.10.2022

Hasan Demır Aykut Ozkan Melis Efeoglu Sacak Nurseli Bayram Boran Isın Unal Cansu Tırıs Murat Gol Arzu Denızbası

https://doi.org/10.5472/marumj.1191161

Abstract

References

  • Bozkurt M, Kulahci Y, Zor F, Kapi E. The management of pit viper envenomation of the hand. HAND 2008;3:324-31. doi: 10.1007/s11552-008-9114-2.
  • Ertem K. Venomous snake bite in Turkey. First aid and treatment. Eur J Gen Med 2004;1:1-6. doi: 10.29333/ejgm/82236.
  • Paolino G, Di Nicola MR, Pontara A, et al. Vipera snakebite in Europe: a systematic review of a neglected disease. JEADV 2020;34:2247-60. doi : 10.1111/jdv.16722.
  • Warrell DA. Venomous bites, stings, and poisoning: an update. Infect Dis Clin N Am 2019;33:17-38. doi: 10.1016/j.idc.2018.10.001.
  • Gülen M , Satar S , Yeşiloğlu Ö , İnce Ç , Esen Cİ , Acehan S. Comparison of two types of polyvalent snake antivenom used in treatment. Cukurova Med J 2020; 45:1230-7. doi: 10.17826/cumj.737922.
  • Scharman EJ, Noffsinger VD. Copperhead snakebites: Clinical severity of local effects. Ann Emerg Med 2001; 38:55-61. doi : 10.1067/mem.2001.116148.
  • Lamas A, Fragoso J, Ferreira M, Cipriano A, Alves R. Case report: Anaphylactoid shock associated with snakebite envenoming in Portugal. Am J Trop Med Hyg 2021;106: 342-44. doi: 10.4269/ajtmh.21-0671.
  • Chippaux JP. Epidemiology of snakebites in Europe: a systematic review of the literature. Toxicon 2012; 59:86-99. doi: 10.1016/j.toxicon.2011.10.008.
  • White J. Snakebites worldwide: Management. www.uptodate.com Literature review current through: Jan 2021. (Access date : 03.13.2021)
  • Lu ZY, Wang XD, Yan J, Ni XL, Hu SP. Critical lower extremity ischemia after snakebite: A case report. World J Clin Cases 2021;9:7857-62. doi:10.12998/wjcc.v9.i26.7857.
  • Habib AG. Tetanus complicating snakebite in northern Nigeria: clinical presentation and public health implications. Acta Trop 2003 Jan;85(1):87-91. doi: 10.1016/s0001-706x(02)00234-6. PMID: 12505187.
  • World Health Organization. Venomous snakes distribution and species risk categories. Geneva, WHO: 2016. (Accessed: 03.13.2021).
  • Persson H. Envenoming by European vipers antivenom treatment- influence on morbidity. Prz Lek 2001;58:223-5.
  • Lamb T, de Haro L, Lonati D, Brvar M, Eddleston M. Antivenom for European Vipera species envenoming. Clin Toxicol 2017; 55:557-68. doi: 10.1080/15563650.2017.1300261.
There are 14 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Reports
Authors

Hasan Demır This is me 0000-0003-4619-3496

Aykut Ozkan This is me 0000-0002-2282-6896

Melis Efeoglu Sacak This is me 0000-0002-8446-9898

Nurseli Bayram This is me 0000-0002-4419-6135

Boran Isın Unal This is me 0000-0001-9328-6834

Cansu Tırıs This is me 0000-0001-7693-1782

Murat Gol This is me 0000-0002-8373-7934

Arzu Denızbası This is me 0000-0002-4589-8251

Publication Date October 31, 2022
Published in Issue Year 2022 Volume: 35 Issue: 3

Cite

APA Demır, H., Ozkan, A., Efeoglu Sacak, M., Bayram, N., et al. (2022). A Viper bite in an urban area : A case report. Marmara Medical Journal, 35(3), 367-371. https://doi.org/10.5472/marumj.1191161
AMA Demır H, Ozkan A, Efeoglu Sacak M, Bayram N, Isın Unal B, Tırıs C, Gol M, Denızbası A. A Viper bite in an urban area : A case report. Marmara Med J. October 2022;35(3):367-371. doi:10.5472/marumj.1191161
Chicago Demır, Hasan, Aykut Ozkan, Melis Efeoglu Sacak, Nurseli Bayram, Boran Isın Unal, Cansu Tırıs, Murat Gol, and Arzu Denızbası. “A Viper Bite in an Urban Area : A Case Report”. Marmara Medical Journal 35, no. 3 (October 2022): 367-71. https://doi.org/10.5472/marumj.1191161.
EndNote Demır H, Ozkan A, Efeoglu Sacak M, Bayram N, Isın Unal B, Tırıs C, Gol M, Denızbası A (October 1, 2022) A Viper bite in an urban area : A case report. Marmara Medical Journal 35 3 367–371.
IEEE H. Demır, A. Ozkan, M. Efeoglu Sacak, N. Bayram, B. Isın Unal, C. Tırıs, M. Gol, and A. Denızbası, “A Viper bite in an urban area : A case report”, Marmara Med J, vol. 35, no. 3, pp. 367–371, 2022, doi: 10.5472/marumj.1191161.
ISNAD Demır, Hasan et al. “A Viper Bite in an Urban Area : A Case Report”. Marmara Medical Journal 35/3 (October 2022), 367-371. https://doi.org/10.5472/marumj.1191161.
JAMA Demır H, Ozkan A, Efeoglu Sacak M, Bayram N, Isın Unal B, Tırıs C, Gol M, Denızbası A. A Viper bite in an urban area : A case report. Marmara Med J. 2022;35:367–371.
MLA Demır, Hasan et al. “A Viper Bite in an Urban Area : A Case Report”. Marmara Medical Journal, vol. 35, no. 3, 2022, pp. 367-71, doi:10.5472/marumj.1191161.
Vancouver Demır H, Ozkan A, Efeoglu Sacak M, Bayram N, Isın Unal B, Tırıs C, Gol M, Denızbası A. A Viper bite in an urban area : A case report. Marmara Med J. 2022;35(3):367-71.
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