Compartment Syndrome Secondary to Bothrops spp. Envenomation in Triângulo Mineiro, Region, Minas Gerais, Brazil

• Published in: Revista da Sociedade Brasileira de Medicina Tropical Vol. 56; p. e01302023
• Main Authors: Toffano, Lucas Liporoni, Silva, Luiz Otávio da, Neves, Fernando de Freitas, Teixeira, Luciana de Almeida Silva, Silva-Vergara, Mario León
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Medicina Tropical - SBMT 01-01-2023; Sociedade Brasileira de Medicina Tropical (SBMT)
• Subjects: Animals; Antivenins - therapeutic use; Bothrops; Bothrops spp; Brazil - epidemiology; Compartment Syndrome; Compartment Syndromes - complications; Compartment Syndromes - surgery; Fasciotomy; Male; Short Communication; Snake bite; Snake Bites - complications; Snake Bites - epidemiology; TROPICAL MEDICINE; Brazil; Fasciotomy; Compartment Syndrome; Bothrops spp; Snake bite
• ISSN: 0037-8682; 1678-9849; 1678-9849
• DOI: 10.1590/0037-8682-0130-2023

Snakebite is a neglected global health problem with high morbidity. We describe compartment syndrome (CS) cases related to snakebites by Bothrops spp.
The medical records of patients admitted with snakebites envenomation were reviewed.
Of 47 patients with Bothrops spp. envenomation (4 male; mean age: 42 years), 7 (15%) developed CS. The mean time to antivenom administration was 9.5 hours. The time to fasciotomy was variable. Seven patients developed infection and four had acute kidney injury.
The incidence of CS is higher than that reported previously. This may be due to the clinical severity and long delay before administering antivenom.