9
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found
      Is Open Access

      Accident and vascular injury with stingray in the Alto Juruá, Acre, Brazil: a case report Translated title: Acidente e lesão vascular com arraia no Alto Juruá, Acre, Brasil: um relato de caso

      Read this article at

      ScienceOpenPublisher
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          INTRODUCTION: Injuries caused by fish are common and considered a neglected health problem with high morbidity and low lethality. Noteworthy are the envenomings by freshwater stingrays, which are considered very serious and one of the most important injuries caused by aquatic animals in South America. CASE PRESENTATION: To describe an accident and vascular injury with venomous stingray animals in the Alto do Juruá, Acre, Brazil. Male patient admitted due to stingray in the left lower extremity 20 days ago. CONCLUSION: The freshwater stingray, due to its sharp characteristics, injured the great saphenous vein, requiring surgical intervention. The situation presented negative evolution due to the lack of necessary procedures in the first attendance, such as the proper cleaning of the wound and the removal of the sting.

          Translated abstract

          INTRODUÇÃO: Acidentes com peixes, denominados de ictismo, são comuns e são considerados um problema de saúde negligenciado, de alta morbidade e baixa letalidade. Destacam-se os envenenamentos por arraias de água doce, pois são considerados muito graves e uma das mais importantes lesões causadas por animais aquáticos na América do Sul. APRESENTAÇÃO DO CASO: Descrever um acidente e lesão vascular com animais peçonhentos do tipo arraia no alto do Juruá, Acre, Brasil. Paciente do sexo masculino, admitido devido a ferroada de arraia no membro inferior esquerda há 20 dias. CONCLUSÃO: O ferrão da arraia de água doce por possuir características pontiagudas lesionou a veia safena magna, necessitando de uma intervenção cirúrgica. O quadro apresentou evolução negativa devido a não realização de procedimentos necessários no primeiro atendimento, como a limpeza adequada do ferimento e a retirada do ferrão.

          Related collections

          Most cited references 18

          • Record: found
          • Abstract: found
          • Article: not found

          High incidence of bites and stings by snakes and other animals among rubber tappers and Amazonian Indians of the Juruá Valley, Acre State, Brazil.

          Among forest-dwelling Amazonian Indians and rubber tappers (seringueiros) of the Juruá valley in Acre State, north-western Brazil, snakebite is an important cause of morbidity and death. Overall, 13% of a surveyed population had been bitten during their lifetime. Seventeen per cent of Katukina Indians, but only 8% of Ashaninkas, had been bitten by snakes reflecting, perhaps, different levels of traditional knowledge of the forest and its dangers. Most bites occurred in the jungle or on jungle trails (56%), while people were working (41%) or walking (26%), and were inflicted on the feet (54%). Ninety per cent of bite victims received treatment, usually traditional (93%); the majority (80%) recovered fully. Mortality was estimated at about 400 deaths per 100,000 population per lifetime. Bites and stings from other venomous forest and river animals, especially the freshwater sting ray (Potamotrygon sp.), were also extremely common. One death from an ant bite was recorded.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Freshwater stingrays: study of epidemiologic, clinic and therapeutic aspects based on 84 envenomings in humans and some enzymatic activities of the venom.

            Freshwater stingrays are very common in the Paraná, Paraguay, Araguaia, and Tocantins Rivers and tributaries in Brazil. This study presents the clinical aspects of 84 patients injured by freshwater stingrays. Intense pain was the most conspicuous symptom. Skin necrosis was observed in a high percentage of the victims, mostly fishermen and bathers. The initial therapeutic procedures, like immersion of the affected member in hot water were effective in the initial phases of the envenoming, especially in the control of the acute pain; however, they did not prevent skin necrosis. By SDS-PAGE, the freshwater stingray (Potamotrygon falkneri) venom extract presented a major band of approximately 12 kDa. Several other components distributed between 15 and 130 kDa were detected in the venom extract. Many components with molecular mass above 80 and 100 kDa have gelatinolytic and caseinolytic activities, respectively. Hyaluronidase activity was detected only in a component around 84 kDa in P. falkneri venom extract. Our results demonstrated that the presence of these enzymes could explain partially the local clinical pictures presented by patients wounded by freshwater stingray.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Animais aquáticos de importância médica no Brasil

              Os acidentes por animais aquáticos venenosos e traumatizantes podem provocar morbidez importante em humanos. Em 236 ocorrências por animais marinhos observadas pelo autor, os ouriços-do-mar causaram cerca de 50%, os cnidários (cubomedusas e caravelas) 25% e peixes venenosos (bagres, arraias e peixes-escorpião) 25% dos acidentes. Nos rios e lagos, as arraias, bagres e mandis causam acidentes que têm mecanismo do envenenamento e efeitos das toxinas semelhantes às espécies marinhas. Em uma série de cerca de 200 acidentes em pescadores de água doce, quase 40% foram causados por bagres e mandis, 5% por arraias de água doce e 55% por peixes traumatogênicos, como as piranhas e as traíras. O autor demonstra os principais animais aquáticos que causam acidentes no Brasil, apresenta aspectos clínicos dos envenenamentos e discute medidas terapêuticas para o controle da intensa sintomatologia observada principalmente nos acidentes causados por cnidários e peixes venenosos.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbcdh
                Journal of Human Growth and Development
                J. Hum. Growth Dev.
                Centro de Estudos de Crescimento e Desenvolvimento do Ser Humano (São Paulo, SP, Brazil )
                0104-1282
                2175-3598
                December 2019
                : 29
                : 3
                : 427-432
                Affiliations
                orgnameUniversity of Mato Grosso
                Rio Branco Acre orgnameHealth Surveillance Department of the Acre State orgdiv1Secretariat of Health Brazil
                Cruzeiro do Sul Campus Acre orgnameAcre Federal Institute Brazil
                Cruzeiro do Sul Acre orgnameFederal University of Acre Brazil
                Santo André SP orgnameABC Health University Center orgdiv1Laboratory of Study Design and Scientific Writing Brazil
                Article
                S0104-12822019000300015 S0104-1282(19)02900300015
                10.7322/jhgd.v29.9542

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 6
                Product
                Product Information: website
                Categories
                Original article

                Comments

                Comment on this article