Image in medicine
Vipera latastei (Hocicuda viper) bite
Mordedura por víbora hocicuda (Vipera latastei)
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His family photographed a snake (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) which was identified as a Snub-nosed viper <span class="elsevierStyleItalic">(Vipera latastei)</span>. In the emergency room, the patient presented a good general condition, 2 points bite on the left index finger (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) and intense oedema and dermatographism of the entire limb (<a class="elsevierStyleCrossRefs" href="#fig0015">Figs. 3 and 4</a>), absence of inflammation signs, crepitus, epidermolysis or local vascular dysfunction. Active mobilization was painful, and a delayed nail capillary refill. The general blood test and coagulation markers were normal. After IV amoxicillin-clavulanate 2<span class="elsevierStyleHsp" style=""></span>g plus IV ceftriaxone 1<span class="elsevierStyleHsp" style=""></span>g, NSAIDs, tetanus vaccine and snake antivenom, following the Besredka method, the patient was discharged 72<span class="elsevierStyleHsp" style=""></span>h later, completely asymptomatic. The photograph made by one of the relatives using a mobile phone facilitated the identification of the snake and the quick intervention.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Sanz García FJ, Pellicer García V, Vicente Navarro D, Giner Galvañ V. 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