Snakebite on the hand: lessons from two clinical cases illustrating difficulties of surgical indication
Gras, S(Doctors Without Borders Department of Medicine) | Plantefève, G(Victor Dupouy Hospital Polyvalent Reanimation Service) | Baud, F(Doctors Without Borders Department of Medicine) | Chippaux, JP(Center for the Study and Research of Malaria Associated with Pregnancy and Childhood ,Institute of Research for Development IRD)
Snakebite is a particularly important health problem in rural areas of tropical regions. A large number of victims survive with permanent physical sequelae due to local tissue necrosis. However, necrosis may be associated with compartment syndrome especially when the bite is on the hands or feet. Herein, we describe two cases reported at a rural district hospital in Central African Republic. The present study suggests that active multidisciplinary management may improve patient prognosis while evidencing how difficult it is to decide on surgical intervention.
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