Yılan Isırığına Bağlı Ağır Ödem Saptanan Üç Olguda Mannitol Tedavisi

Abstract

We report successful mannitol therapy in three children with severe local edema secondary to snakebites. Three female children (Case 1: 4 years old; Case 2: 10 years old; Case 3: 12 years old) with severe local edema due to Vipera Xanthina bite on the extremities admitted to our hospital. Cases 2 and 3 had received inadequate antivenin, and they were referred to our clinic 24 hours later after the snakebite. Case 1 did not apply to a medical center within 24 hours after the snakebite. The envenomation of Case 2 was graded as two, and the others were graded as three. Cases 2 and 3 exhibited clinical signs of compartment syndrome. All cases were treated with mannitol monotherapy successfully, and they were discharged without any sequelae. In late admissions, mannitol solely seems to alleviate severe local edema secondary to snakebites.