First record of snakebites by Micrurus ortoni and Micrurus hemprichii (Serpentes: Elapidae) in Colombia and Perú
Abstract
We report two snakebites by Micrurus ortoni in Colombia and one by M. hemprichii in Perú. In two of the cases, we observed mild to moderate motor neurological involvement and in all patients, there was a marked sensory effect with hyperesthesia and hyperalgesia radiating from the bite site to the entire ipsilateral hemibody. The only patient who received antivenom, which did not correspond with the type of envenomation, developed equine serum sickness eight days after its administration.
The results of the laboratory tests, including an electromyographic study, the photographic record of the clinical manifestations, and the causative agents are presented and discussed.
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References
Uetz P, Hallermann J. The Reptile Database. Fecha de consulta: 10 de febrero de 2021. Disponible en: http://reptile-database.reptarium.cz/
Campbell J, Lamar W. The venomous reptiles of the western hemisphere. En: The Herptile. New York: Cornell Universit; 2004. p. 422.
Sevilla-Sánchez M-J, Mora-Obando D, Calderón-Leytón JJ, Guerrero-Vargas JA, Ayerbe-González S. Accidente ofídico en el departamento de Nariño, Colombia: análisis retrospectivo (2008-2017). Biomédica. 2019;39;:715-36: https://doi.org/10.7705/biomedica.4830
Sevilla-Sánchez MJ, Ayerbe-González S, Bolaños-Bolaños E. Aspectos biomédicos y epidemiológicos del accidente ofídico en el departamento del Cauca, Colombia (2009-2018). Biomédica. 2021;41;314-37. https://doi.org/10.7705/biomedica.5853
Ayerbe-González S. Ofidismo en Colombia, enfoque, diagnóstico y tratamiento. En: Cuidados intensivos y trauma. Primera edición. Bogotá: Editorial Médica; 2009. p. 1143-67.
Ferreira Bisneto P, Dos Santos Araújo B, Da Silva Pereira H, Mendonça da Silva I, Gonçalves Sachett J de A, Bernarde PS, et al. Envenomations by coral snakes in an Amazonian metropolis: Ecological, epidemiological and clinical aspects. Toxicon. 2020;185;193-202. https://doi.org/10.1016/j.toxicon.2020.07.009
Maguiña-Vargas C, Chincha-Lino O, Vilcapoma-Balbín P, Morante D. Actualización en clínica y terapia de mordedura de serpiente (ofidismo). Rev Medica Hered. 2020;31:48-55. https://doi.org/10.20453/rmh.v31i1.3729
Bernarde PS, Batista-Turci LC, Abegg AD, Franco FL. A remarkable new species of coralsnake of the Micrurus hemprichii species group from the Brazilian amazon. Salamandra. 2018;54:249-58.
Da Silva J. As cobras-corais do Brasil: Biologia, taxonomia, venenos e envenenamentos. Origem e evolução dos elapídeos e das cobras-corais do Novo Mundo. Brasil: Da PUC Goiás; 2016. p. 415.
Roze J. Coral snakes of the Americas. Biology, identification, and venoms. Malabar: Krieger Pub. Co.; 1996. p. 180-2.
Netter F. Atlas of human anatomy. Summit, New Jersey: Htetter Print. Co.; 1995. p. 150, 454-5, 511.
Silva JJ. Los Micrurus de la Amazonia colombiana . Biología y toxicología experimental de sus venenos. Colomb Amaz. 1994;7:1-77.
Castaño-Valencia RS, Cañas-Dávila CA. Venenos. En: Cañas-Dávila CA, Castro-Herrera F, Castaño-Valencia RS, editores. Serpientes venenosas: lecciones aprendidas desde Colombia. Cali: Fundación Clínica Valle del Lili; 2016. p. 114-7.
Gutiérrez JM, Rojas G, Da Silva NJ, Núñez J. Experimental myonecrosis induced by the venoms of South American Micrurus (coral snakes). Toxicon. 1992;30:1299-302. https://doi.org/10.1016/0041-0101(92)90446-C
Renjifo C, Smith EN, Hodgson WC, Renjifo JM, Sánchez A, Acosta R, et al. Neuromuscular activity of the venoms of the Colombian coral snakes Micrurus dissoleucus and Micrurus mipartitus: An evolutionary perspective. Toxicon. 2012;59:132-42. https://doi.org/10.1016/j.toxicon.2011.10.017
Salazar AM, Vivas J, Sánchez EE, Rodríguez-Acosta A, Ibarra C, Gil A, et al. Hemostatic and toxinological diversities in venom of Micrurus tener tener, Micrurus fulvius fulvius and Micrurus isozonus coral snakes. Toxicon. 2011;58:35-45. https://doi.org/10.1016/j.toxicon.2011.04.020
Ahmed M, Rocha JB, Morsh VM, Schetinger MR. Snake venom acetylcholinesterase. En: Mackessy SP, editor. Handbook of venoms and toxins of reptiles. Boca Ratón, London, New York: CRC Press, Taylor & Francis Group; 2009. p. 207-19.
Rey-Suárez P, Lomonte B. Immunological cross-recognition and neutralization studies of Micrurus mipartitus and Micrurus dumerilii venoms by two therapeutic equine antivenoms. Biologicals. 2020;68:40-5. https://doi.org/10.1016/j.biologicals.2020.08.011
Tanaka GD, Furtado MDFD, Portaro FCV, Sant’Anna OA, Tambourgi DV. Diversity of Micrurus snake species related to their venom toxic effects and the prospective of antivenom neutralization. PLoS Negl Trop Dis. 2010;4;3:1-12. https://doi.org/10.1371/journal.pntd.0000622
Hegde RP, Rajagopalan N, Doley R, Kini M. Snake venom three-finger toxins. En: Mackessy SP, editor. Handbook of venoms and toxins of reptiles. Boca Ratón, London, New York: CRC Press, Taylor & Francis Group; 2009. p. 287-301.
Ayerbe-González S. Serpientes: accidentes y soluciones. Primera edición. Popayán. 2021. p. 114. Fecha de consulta: 15 de junio de 2021. Disponible en: http://ayerbedocserpientes.com
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