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[Adder bites--clinical picture, diagnosis and management].
Dtsch Med Wochenschr. 2008 May; 133(20):1075-80.DM

Abstract

Adder bites are occasionally occurring envenoming emergencies. More than ten percent of the clinical courses are severe and even life-threatening. Children and elderly patients are over-represented in this group. Common symptoms comprise local edema, abdominal pain and vomiting, arterial hypotension and neurological disorders. First steps in the management are immobilization of the affected extremity, reassurance of the patient and application of analgetics. Anaphylaxis may occur and requires status adapted treatment. Persistent circulatory shock, protracted gastrointestinal or severe neurological symptoms, as well as rapidly progressing edema and airway obstruction are indications for antivenom treatment. Administration of antivenom results in prompt clinical improvement and in a significantly shorter hospital stay.

Authors+Show Affiliations

Universitätsklinik und Poliklinik für Kinder und Jugendliche, Liebigstr. 20a, 04103 Leipzig. freerk.prenzel@medizin.uni-leipzig.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

18461527

Citation

Prenzel, F, et al. "[Adder Bites--clinical Picture, Diagnosis and Management]." Deutsche Medizinische Wochenschrift (1946), vol. 133, no. 20, 2008, pp. 1075-80.
Prenzel F, Schulz M, Siekmeyer W, et al. [Adder bites--clinical picture, diagnosis and management]. Dtsch Med Wochenschr. 2008;133(20):1075-80.
Prenzel, F., Schulz, M., Siekmeyer, W., Rahn, W., & Kiess, W. (2008). [Adder bites--clinical picture, diagnosis and management]. Deutsche Medizinische Wochenschrift (1946), 133(20), 1075-80. https://doi.org/10.1055/s-2008-1077221
Prenzel F, et al. [Adder Bites--clinical Picture, Diagnosis and Management]. Dtsch Med Wochenschr. 2008;133(20):1075-80. PubMed PMID: 18461527.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Adder bites--clinical picture, diagnosis and management]. AU - Prenzel,F, AU - Schulz,M, AU - Siekmeyer,W, AU - Rahn,W, AU - Kiess,W, PY - 2008/5/8/pubmed PY - 2008/5/14/medline PY - 2008/5/8/entrez SP - 1075 EP - 80 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch Med Wochenschr VL - 133 IS - 20 N2 - Adder bites are occasionally occurring envenoming emergencies. More than ten percent of the clinical courses are severe and even life-threatening. Children and elderly patients are over-represented in this group. Common symptoms comprise local edema, abdominal pain and vomiting, arterial hypotension and neurological disorders. First steps in the management are immobilization of the affected extremity, reassurance of the patient and application of analgetics. Anaphylaxis may occur and requires status adapted treatment. Persistent circulatory shock, protracted gastrointestinal or severe neurological symptoms, as well as rapidly progressing edema and airway obstruction are indications for antivenom treatment. Administration of antivenom results in prompt clinical improvement and in a significantly shorter hospital stay. SN - 1439-4413 UR - https://www.unboundmedicine.com/medline/citation/18461527/[Adder_bites__clinical_picture_diagnosis_and_management]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2008-1077221 DB - PRIME DP - Unbound Medicine ER -