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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Compartment syndrome related to viper bite in children
Reanimation, Volume 20, No. 5, Year 2011
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Description
Background: Compartment syndrome is a major complication of viper bites and it is more common in children. The aim of our retrospective study was to describe the clinical characteristics of viper envenomation-related compartment syndrome in children admitted to the paediatric intensive care unit at Rabat Children's Hospital. Methods: The severity of envenomation was evaluated according to the international classification: grade 0 (fang marks, no local signs), grade 1 (local swelling, no general symptoms), grade 2 (extensive swelling of the limb and/or moderate general symptoms) and grade 3 (wide spread swelling reaching the trunk and/or severe general symptoms). Results: Seven of the eighteen patients admitted for viper bites between January 2004 and December 2010 were included in this study. Following a median delay of 23 hours, pain and local swelling were the main symptoms observed. Compartment syndrome resulted from grade-2 (five cases) and grade-3 envenomation (two cases). Female gender (4/7), bites during the afternoon (7/7) and summer (4/7) as well as bites involving the lower limbs (5/7) characterized envenomation that resulted in compartment syndrome. The median duration of hospitalization was 7 days. Fasciotomy was performed in all cases. Antivenom treatment had not been given. One child died. Conclusion: Compartment syndrome is a serious complication of grade-2 and grade-3 viper envenomation. Our analysis emphasizes the need for specific immunotherapy to be available in medical institutions located in areas with a high incidence of viper bites, like ours. To cite this journal: Réanimation 20 (2011). © SRLF et Springer-Verlag France 2011.
Authors & Co-Authors
El Koraïchi, Alae
Morocco, Agdal Rabat
Hôpital D'enfants
Tsala, G.
Morocco, Agdal Rabat
Hôpital D'enfants
Ahid, Samir
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Tadili, Jawad
Morocco, Agdal Rabat
Hôpital D'enfants
Kharraz, H.
Morocco, Agdal Rabat
Hôpital D'enfants
Zinelabidine, E.
Morocco, Agdal Rabat
Hôpital D'enfants
Hatimi, E. M.
Morocco, Agdal Rabat
Hôpital D'enfants
El Haddoury, Mohamed
Morocco, Agdal Rabat
Hôpital D'enfants
Echcherif El Kettani, Salma
Morocco, Agdal Rabat
Hôpital D'enfants
Statistics
Citations: 9
Authors: 9
Affiliations: 2
Identifiers
Doi:
10.1007/s13546-011-0302-7
ISSN:
16240693
e-ISSN:
19516959
Research Areas
Cancer
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Participants Gender
Female