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Journal of equine veterinary science2020; 94; 103245; doi: 10.1016/j.jevs.2020.103245

Clinical and Therapeutic Aspects of Brazilian Native Bothrops Envenomation in Nine Horses.

Abstract: In this retrospective study, clinical records of nine horses with a diagnosis of Bothrops envenomation were investigated. The accidents were classified as severe (5/9), moderate (2/9), or mild (2/9) according to the adapted bothropic snakebite severity score (BSSS). All snakebites were on the head region. The main clinical signs were local edema, blood coagulation disorders, and respiratory distress. The whole-blood clotting time (WBCT) was prolonged in all horses, and five horses presented with uncoagulable blood. All horses received specific snake antivenom according to the BSSS (six vials for severe, four vials for moderate, and two vials for mild accidents), and emergency tracheotomy was required in six horses because of respiratory distress. One horse died after eight days of hospitalization, whereas the others were discharged after nine days of hospitalization. The BSSS plus the WBCT were useful in determining the prognosis and the amount and frequency of antivenom therapy. Snakebite accidents are emergency cases; therefore, rapid and efficient therapeutic intervention will reflect positively on the prognosis.
Publication Date: 2020-09-03 PubMed ID: 33077082DOI: 10.1016/j.jevs.2020.103245Google Scholar: Lookup
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Summary

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The research article discusses the study of clinical records of nine horses diagnosed with Bothrops envenomation (snakebites), the severity of the incidents, the signs observed, treatments administered, and the effectiveness of the treatment methods.

Research Background and Methodology

  • The study was a retrospective research conducted on the diagnosed cases of nine horses that suffered from Bothrops envenomation.
  • The researchers evaluated the severity of the snakebite incidents using an adapted Bothropic snakebite severity score (BSSS), which categorizes cases into severe, moderate, and mild.

Findings

  • All the snakebite incidents happened in the head region of the horses.
  • The primary clinical signs observed in the horses were local edema (swelling due to fluid accumulation), blood coagulation disorders, and respiratory distress.
  • The whole-blood clotting time (WBCT) was found to be prolonged in all horses, and five out of the nine horses even showed uncoagulable blood.
  • Each of the horses received specific snake antivenom treatment according to the severity of their conditions as quantified by the BSSS.
  • Emergency tracheotomy (an incision in the windpipe made to relieve an obstruction to breathing) was required for six out of the nine horses due to respiratory distress.

Results and Conclusion

  • One out of the nine horses died after eight days of hospitalization, while the rest were discharged after nine days.
  • The bothropic snakebite severity score (BSSS) combined with the whole-blood clotting time (WBCT) proved useful in predicting the prognosis and determining the appropriate amount and frequency of antivenom therapy necessary for each case.
  • The authors conclude that snakebite incidents should be treated as emergencies, where timely and effective therapeutic intervention can positively alter the prognosis.

Cite This Article

APA
Ferreira JF, Albuquerque ALH, Amorim RM, Ferreira RS, Takahira RK, Borges AS, Oliveira-Filho JP. (2020). Clinical and Therapeutic Aspects of Brazilian Native Bothrops Envenomation in Nine Horses. J Equine Vet Sci, 94, 103245. https://doi.org/10.1016/j.jevs.2020.103245

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 94
Pages: 103245
PII: S0737-0806(20)30336-1

Researcher Affiliations

Ferreira, Júlia F
  • São Paulo State University (Unesp), School of Veterinary Medicine and Animal Science, Department of Veterinary Clinical Science, Botucatu, Brazil.
Albuquerque, Ana Luisa H
  • São Paulo State University (Unesp), School of Veterinary Medicine and Animal Science, Department of Veterinary Clinical Science, Botucatu, Brazil.
Amorim, Rogerio M
  • São Paulo State University (Unesp), School of Veterinary Medicine and Animal Science, Department of Veterinary Clinical Science, Botucatu, Brazil.
Ferreira, Rui S
  • São Paulo State University (Unesp), Center for the Study of Venoms and Venomous Animals (CEVAP), Botucatu, Brazil.
Takahira, Regina K
  • São Paulo State University (Unesp), School of Veterinary Medicine and Animal Science, Department of Veterinary Clinical Science, Botucatu, Brazil.
Borges, Alexandre S
  • São Paulo State University (Unesp), School of Veterinary Medicine and Animal Science, Department of Veterinary Clinical Science, Botucatu, Brazil.
Oliveira-Filho, Jose P
  • São Paulo State University (Unesp), School of Veterinary Medicine and Animal Science, Department of Veterinary Clinical Science, Botucatu, Brazil. Electronic address: jose.oliveira-filho@unesp.br.

MeSH Terms

  • Animals
  • Antivenins / therapeutic use
  • Bothrops
  • Brazil
  • Horse Diseases
  • Horses
  • Retrospective Studies
  • Snake Bites / diagnosis
  • Snake Bites / veterinary

Citations

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