Abstract

Few papers have been published on snake bites caused by Philodryas olfersii. We report here the first case identified at the Centro de Assistência Toxicológica do Hospital da Restauração, Recife, State of Pernambuco. This case was described based on medical protocols, interviewing the patient and identifying the animal that caused the bite. The patient presented pain, heat, erythema, edema and ecchymosis, without other laboratory abnormalities or coagulation disorders. The treatment consisted of administration of eight ampoules of antibothropic serum, and post-administration allergenic reactions were observed. The importance of bites by opistoglyph snakes needs to be reconsidered in research and at specialized treatment centers.

Highlights

  • The snake Philodryas olfersii, Family Dipsadidae, Subfamily Xenodontinae[1], is known as Cobra-cipó, Cobra de São João or more frequently as the green snake because of its coloration

  • There are eleven healthcare units in Pernambuco focusing on anti-snake venom serum administration, and these are known as GERES

  • Accidents involving poisonous animals throughout the metropolitan region of Recife are attended at the Toxicological Care Center (CEATOX) of Restauração Hospital (GERES I)

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Summary

Introduction

The snake Philodryas olfersii, Family Dipsadidae, Subfamily Xenodontinae[1], is known as Cobra-cipó, Cobra de São João or more frequently as the green snake because of its coloration. A few cases of human poisoning caused by Philodryas have been described and published in the literature[2,4,5]. Some clinical backgrounds without coagulative disturbances that develop fast can only be neutralized and treated with antibothropic serum, as can be seen in the present case.

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