Epidemiological and laboratory evaluation of snakebite incidents in patients from Miracatu (Vale do Ribeira, São Paulo, Brazil)
DOI:
https://doi.org/10.5216/rpt.v37i3.5070Keywords:
Bothrops, Venom, Blood coagulability.Abstract
Incidents by snakes of the genus Bothrops are responsible for around 90% ofsnakebites in Brazil, constituting a major problem in human and veterinary medicine,
leading to severe bleeding, tissue injury and death. The human homeostatic system
is composed of complex interactions involving blood proteins, platelets, endothelial
cells and sub-endothelial structures. The bothropic venom has many components
that interfere with homeostasis, in the cascade of coagulation, platelet action,
consumption of fibrinogen and thromboplastin. We analyzed data of 45 patients
who were victims of snakebite incidents, attended at the Emergency of Miracatu,
Vale do Ribeira, Sao Paulo. 33.3% of them had non-coagulability of the blood,
33.3% thrombocytopenia, and 6.9% thrombocytosis. The epidemiological data
showed that 79% of snakebite victims were male and 80% held agricultural activity
at the time of the accident, thus characterizing it as a risk factor for rural workers.
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