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001-es BibID:	BIBFORM060288
Első szerző:	Malina Tamás (biológus)
Cím:	Misdiagnosed Vipera envenoming from an unknown adder locality in northern Hungary / Tamás Malina, Péter Schuller, László Krecsák
Dátum:	2011
ISSN:	1584-9074 1843-5629
Megjegyzések:	We report a misdiagnosed Vipera envenoming from northern Hungary from an as yet unknown viper-locality. A 64-year-old previously healthy male was bitten in the Bükk Mountains in July 2009, and hasnot presented at a doctor on the day of accident, although he suffered from mild and transient systemicsymptoms and moderate local consequences following the bite. First the case was misdiagnosed and it wasnot handled as a possible adder-bite in a General Practicioner's office, despite the unambiguous visible localreactions. Eventually he was admitted to the medical centre of the county, the Borsod-Abaúj-Zemplén Countyand University Hospital in Miskolc, where fluid replacement and corticoid therapy were performed. Basedon the symptoms we attribute the incident definitely to envenoming by a viper. The presence of an isolatednatural Common adder (Vipera berus) population in this locality cannot be completely excluded, since theclosest population is reported from Monok in the Szerencs Hills (which is geologically connected to the ZemplénHills, that has one of the highest adder population densities in the country), approximately 45 km fromthe place of this incident. The occurrence of another captive-kept, but released, European viper species maybe an alternative, but quite implausible explanation. This is the first envenomation reported outside theknown Hungarian range of V. berus. The case highlights the possibility to enhance biogeographic data on certainspecies by using reports from different scientific fields such as clinical toxicology and emergency medicine,especially when the geographic distribution of venomous snakes is surveyed; thus analysis of availableclinical records is highly encouraged.
Tárgyszavak:	Természettudományok Biológiai tudományok esettanulmány envenoming edema latent paresis Bükk Mountains Vipera berus Borsod-Abaúj-Zemplén County
Megjelenés:	North-Western Journal of Zoology. - 7 : 1 (2011), p. 87-91. -
További szerzők:	Schuller Péter (1976-) (orvos) Krecsák László
Internet cím:	Szerző által megadott URL Intézményi repozitóriumban (DEA) tárolt változat
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