Venoms: Venomous Animals and Antivenomous Serum-therapeuticsCalmette, A. (Albert)
Science
Venoms: Venomous Animals and Antivenomous Serum-therapeutics
Calmette, A. (Albert)
Antitoxins; Poisonous snakes; Toxins; Venom
“Tumefaction of the entire foot. Ecchymosis of the skin extending
half-way up the leg. General condition excellent. I gave antiseptically
an injection of 10 c.c. of antivenomous serum in the right flank,
followed by a draught of acetate of ammonia and syrup of ether. Damp
bandage applied to wound and swollen part.
“I saw the child again on the following day. Generalised œdema and
tumefaction of the bitten limb. Heart excellent; no vomiting, no
fever. I again gave an injection of 20 c.c. of serum, and ordered a
continuance of damp phenic dressings to be applied to the entire limb.
Condition very good.
“On June 25, no fever at the time of my visit. Pulse irregular. Ordered
treatment to be continued.
“I did not see the patient for four days, when I was summoned by
telegram. I found that the child had fever, 39° C. Complete tumefaction
of the left leg, abdomen, and trunk, with ecchymosed patches.
Prescribed quinine. Arhythmia of pulse and heart. Prescribed digitalis
and Jaccoud’s tonic. The febrile condition was due to congestion of the
base of the right lung. I ordered cupping and sinapisms alternately.
“I saw the child again two days later. The congestion still continued.
Temperature 39° C., but the general tumefaction showed a tendency to
diminish.
“On July 4 I again saw the child. Now only slight œdema. General
condition very satisfactory. Temperature normal. The child was making
rapid strides towards recovery. The leg was doing well, and the wound
was almost healed.
“Summary: A very serious bite and, above all, great delay in injecting
serum (injection not given until four hours after the accident);
unforeseen complications in the lung, by which recovery was delayed.”
XXV.--Case reported by Mons. H. Moindrot, Assistant to Dr. Martel, of
Saint-Étienne (Loire).
“Claude L., aged 8, living at Ricamarie, was brought, on May 26, 1904,
to the Bellevue Hospital. The parents stated that about 10 o’clock the
same morning, while playing near a stack of faggots, the child was
bitten by a snake in the third finger of the right hand. Since the
wound caused by the bite seemed to them of little importance, they
contented themselves with squeezing the injured finger in order to make
it bleed a little. A few moments later, however, the child began to
complain of a feeling of distension in the region of the bite, caused
by œdema, which soon increased to an alarming extent. A doctor, who was
called in, carefully washed the wound, applied an aseptic dressing, and
at once sent the little sufferer to the Hospital.
Public-domain text, read in full here on John Shaqi.
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