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Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,014
Online ISSN 1827-1820
Trevisan G., Pauluzzi P., Bressi N. *, Kljajic N.
Università degli Studi - Trieste Istituto di Clinica Dermatologica
* Museo di Storia Naturale - Trieste
The main poisonous snakes in North-Eastern Adriatic area belong to the Family Viperidae. Snake bite toxicity generally depends on: the potency of the venom, the amount injected, the size and condition of the snake and of the person bitten. There are immediate and delayed manifestations of a viper bite. The case of a Vipera A. ammodytes snake bite occurred in a young woman is reported. A 27-year-old healthy woman, spending holidays in Croatia, walked barefoot on the ground and stepped on a viper which bit her on the first right toe. From the description of the snake’s morphological characteristics, reported by the patient, and considering the vipers recorded in that area it was established to be a Vipera A. ammodytes. Intense local pain was felt after the bite, followed by erythema and swelling. Nausea and sweating were associated. Viper antivenin was administered and antitetanic prophylaxis was performed. After a few days, necrosis appeared on the toe spreading to the foot. Moderate painful lymphadenopathy was present. Cephalexin (1g/day) was administered and surgical debridement of the necrosis was performed. Wound was cleansed and covered (boric acid 3% solution and silver sulfadiazine 1% cream). Lesion healed with severe scars within 60 days. The severe localized complications in this case, after a european snake bite, are described.