Citation

Gruschwitz MS, Mahler V, Rupprecht M, Hornstein OP. Hautarzt 1994; 45(5): 330-334.

Vernacular Title

Bissverletzung durch eine Giftschlange. Bericht uber einen ungewohnlichen Fall.

Affiliation

Dermatologische Universitäts-Klinik, Erlangen.

Copyright

(Copyright © 1994, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

8050904

Abstract

We report on a 31-year-old white woman, who was bitten in her right calf by a "spitting cobra" (Neia nigricollis) during a safari in Tansania. Minor initial systemic symptoms such as nausea and vomiting were followed by severe oedematous swelling of the extremity after 2-3 h and demarcation of a 2.75 x 2.75 in. area of necrotic skin. The patient returned to her home country, where 8 days after the snake-bite necrosectomy was performed. Antibiotics, anti-inflammatory agents and local therapy with hydrocolloidal wound dressings were administered. With this therapy the lesion healed completely with minor scarring within 5 months. A new Salmonella strain was isolated from the ground of the ulcer.

Language: de