Claude MAILLAUD, Catherine SEBAT, Sylvain RIBET, Xavier BERGE, Francis Durand (2005)
LA DOULEUR DANS LES ENVENIMATIONS PAR SERPENTS MARINS EN NOUVELLE CALEDONIE
Résumé :
Sea Snake envenomation is an uncommon, but highly life-threatening marine hazard in New Caledonia. We report several cases collected by the Territorial Hospital Emergency Departement. According to our data, the neuromuscular effects of the venom, possibly inducing a generalized flaccid paralysis leading to a respiratory failure and death by respiratory arrest, are the most commonly observed. Skeletal muscular damage, up to rhabdomyolysis, issuing from the myotoxic action of the venom is another less usual clinical fealure, which immediate prognosis is much better. Initial pain at the puncture site is usually missing, or quite low, and pain , when it occurs, only related to skeletal muscular damage. The lack of significant pain in a potentially lethal envenomation may be a trap for diagnosis and prognosis, that clinicians should be aware of
Mots-Clés :
Envenimation, Serpents Marins, Nouvelle Calédonie
Source :
Towines et Douleurs, Rencontres en Toxicologie, 2005 LAVOISIER
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Claude MAILLAUD, Catherine SEBAT, Sylvain RIBET, Xavier BERGE, Francis Durand (2005) 
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