Table 1 Clinical manifestations of envenoming by M. mipartitus in two patients
From: Envenomation by the red-tailed coral snake (Micrurus mipartitus) in Colombia
Gender, age, bite site | Phase 1 – Initial manifestations | Phase 2 – Neurological symptoms and signs before respiratory arrest – Treatment | Phase 3 – Neurological symptoms and signs after respiratory arrest with patient with respiratory assistance |
|---|---|---|---|
Case 1, female, 46 y.o., left foot | Onset: 30 min. after the bite, moderate local pain and paresthesia | Onset: One hour after the bite, she shows dysarthria and bilateral palpebral ptosis Two hours after the bite: difficulty walking and decreased strength in the upper limbs Three hours after the bite: severe difficulty speaking and progressive respiratory depression – respiratory support and antivenom | Progressive recovery. Extubation: six hours after the antivenom application |
Case 2 male, 22 y.o., right hand | Onset: 30 min. after the bite, local pain and paresthesia | Onset: Two hours after the bite, he developed dysarthria and bilateral palpebral ptosis Three hours after the bite: he presented difficulty walking and progressive respiratory distress – respiratory support and antivenom | Progressive recovery. Extubation: 20 h after the antivenom application |