Medical management of a child treated for two unique envenomation episodes via captive snakes in a 60-day period: A case report
Venomous snake bites can result in irreversible damage, leading to respiratory dysfunction, bleeding disorders, kidney damage, or serious complications. In recent years, with the popularity of online shopping in China, snakes can be easily purchased and kept as pets, even if some areas are not natur...
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| Language: | English |
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Elsevier
2024-11-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024162767 |
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| author | Ming Gao Xiangxing Zhang Tianzi Jian Cece Sun Guangcai Yu Yikai Gao Baotian Kan Xiangdong Jian |
| author_facet | Ming Gao Xiangxing Zhang Tianzi Jian Cece Sun Guangcai Yu Yikai Gao Baotian Kan Xiangdong Jian |
| author_sort | Ming Gao |
| collection | DOAJ |
| description | Venomous snake bites can result in irreversible damage, leading to respiratory dysfunction, bleeding disorders, kidney damage, or serious complications. In recent years, with the popularity of online shopping in China, snakes can be easily purchased and kept as pets, even if some areas are not natural habitats for certain kinds of snakes. A 13-year-old boy purchased two venomous snakes online as pets. On April 16, 2019,the boy was bitten by a B. multicinctus(Bungarus multicinctus), and he had mild difficulty breathing and limb weakness. He was discharged after symptomatic treatment with B. multicinctus antivenom. On June 17, 2019, the boy was bitten a second time by a short-tailed pit viper (Gloydius brevicaudus) resulting in swelling and necrosis of the left hand. After a systemic and comprehensive treatment was implemented, including Agkistrodon halys antivenom injections, infection control, hormone therapy, improved circulation, negative pressure wound therapy, skin graft, and nutritional support, the boy recovered. This case provides valuable insights for diagnosing and treating venomous snake bites and their complications while also raising public awareness about the hazards of purchasing venomous snakes online,and it also provide case support for the improvement of online shopping for minors, wildlife protection, and live animal mailing management, helping to prevent such incidents from happening again. |
| format | Article |
| id | doaj-art-d160f14ced644d629c4a4135bd9fbc27 |
| institution | DOAJ |
| issn | 2405-8440 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-d160f14ced644d629c4a4135bd9fbc272025-08-20T02:48:58ZengElsevierHeliyon2405-84402024-11-011022e4024510.1016/j.heliyon.2024.e40245Medical management of a child treated for two unique envenomation episodes via captive snakes in a 60-day period: A case reportMing Gao0Xiangxing Zhang1Tianzi Jian2Cece Sun3Guangcai Yu4Yikai Gao5Baotian Kan6Xiangdong Jian7Department of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, China; Department of Emergency Medicine, Peking University Third Hospital, Beijing, 100191, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, ChinaDepartment of Hematology, Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, ChinaDepartment of Nursing, Department of Gerontology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, China; Corresponding author. Department of Nursing, Qilu Hospital, Department of Geriatric Medicine, Cheeloo College of Medicine, Shandong University. No. 107, Road Wenhuaxi, Jinan, Shandong, 250012, China.Department of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, China; Department of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, China; Corresponding author. Department of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital of Shandong University. No. 107, Road Wenhuaxi, Jinan, 250012, Shandong, China.Venomous snake bites can result in irreversible damage, leading to respiratory dysfunction, bleeding disorders, kidney damage, or serious complications. In recent years, with the popularity of online shopping in China, snakes can be easily purchased and kept as pets, even if some areas are not natural habitats for certain kinds of snakes. A 13-year-old boy purchased two venomous snakes online as pets. On April 16, 2019,the boy was bitten by a B. multicinctus(Bungarus multicinctus), and he had mild difficulty breathing and limb weakness. He was discharged after symptomatic treatment with B. multicinctus antivenom. On June 17, 2019, the boy was bitten a second time by a short-tailed pit viper (Gloydius brevicaudus) resulting in swelling and necrosis of the left hand. After a systemic and comprehensive treatment was implemented, including Agkistrodon halys antivenom injections, infection control, hormone therapy, improved circulation, negative pressure wound therapy, skin graft, and nutritional support, the boy recovered. This case provides valuable insights for diagnosing and treating venomous snake bites and their complications while also raising public awareness about the hazards of purchasing venomous snakes online,and it also provide case support for the improvement of online shopping for minors, wildlife protection, and live animal mailing management, helping to prevent such incidents from happening again.http://www.sciencedirect.com/science/article/pii/S2405844024162767Snake biteBungarus multicinctusGloydius brevicaudusAntivenomNecrosis |
| spellingShingle | Ming Gao Xiangxing Zhang Tianzi Jian Cece Sun Guangcai Yu Yikai Gao Baotian Kan Xiangdong Jian Medical management of a child treated for two unique envenomation episodes via captive snakes in a 60-day period: A case report Heliyon Snake bite Bungarus multicinctus Gloydius brevicaudus Antivenom Necrosis |
| title | Medical management of a child treated for two unique envenomation episodes via captive snakes in a 60-day period: A case report |
| title_full | Medical management of a child treated for two unique envenomation episodes via captive snakes in a 60-day period: A case report |
| title_fullStr | Medical management of a child treated for two unique envenomation episodes via captive snakes in a 60-day period: A case report |
| title_full_unstemmed | Medical management of a child treated for two unique envenomation episodes via captive snakes in a 60-day period: A case report |
| title_short | Medical management of a child treated for two unique envenomation episodes via captive snakes in a 60-day period: A case report |
| title_sort | medical management of a child treated for two unique envenomation episodes via captive snakes in a 60 day period a case report |
| topic | Snake bite Bungarus multicinctus Gloydius brevicaudus Antivenom Necrosis |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024162767 |
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