1/17/2024 0 Comments Boa constrictor snake fangsThe retina and vitreous humor appeared normal. The anterior chamber was deep and fibrin was adherent to the internal surface of the wound. A small conjunctival puncture wound was also noted in the inferonasal quadrant. Three small puncture wounds were noted in the cornea 2 were Seidel positive. There was a puncture wound in the right upper eyelid. His eyelids were mildly swollen on the right side. When the patient arrived, he was in minimal discomfort. Snake teeth are continuously replaced (original magnification ×2). All of the teeth are similar in size and shape. Snakes have 6 rows of teeth: 1 row in each of the lower jaws (since they have a left and a right mandible) and 2 rows on each side of the maxillary jaw. The head of the snake was sent in a specimen bag ( Figure 2).Ĭlose-up of snake's head. After receiving 1 g of the ampicillin and sylbactam sodium combination drug (Unasyn) intravenously, the patient was transferred to our institution with a shield over his right eye while awaiting definitive treatment. Photographs were obtained before the snake's head was removed ( Figure 1). The attending physician removed the snake's head from the patient, and diagnosed a ruptured globe. The multiple small recurved teeth could not be disengaged, so the patient was transferred to a nearby emergency department with the snake's head attached to his eye. The fire department arrived shortly thereafter, and a fireman, using a large knife, cut the snake's head from its body. The policeman who answered the call, however, was ophidiophobic (fear of snakes) and was unable to lend assistance. The patient managed to telephone a neighbor, who dialed 911, and the police arrived. It would not release its bite and tried to wrap around the patient's neck. When the snake struck, the patient partially blocked the attack with his right hand however, the snake was able to engage the patient's right eye with its lower teeth, and his hand with its upper teeth. The snake had infectious stomatitis, a bacterial infection in the mouth. Shared Decision Making and CommunicationĪn 18-year-old man was bathing his pet snake, a 6-ft-long North Brazilian boa constrictor ( Boa constrictor), when it attacked him and bit him on the right eye.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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