{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T08:11:37Z","timestamp":1778487097486,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"abstract":"<jats:p>\n                    Beaded lizards (\n                    <jats:italic toggle=\"yes\">Heloderma<\/jats:italic>\n                    spp) are venomous lizards capable of inflicting local and systemic envenoming. An exotic pet collector presented with a reportedly prolonged bite by a presumed Guatemalan beaded lizard (\n                    <jats:italic toggle=\"yes\">Heloderma charlesbogerti<\/jats:italic>\n                    ). He reported immediate symptoms of envenoming, including severe pain, paresthesia, local swelling, dizziness, and nausea. Follow-up assessments conducted over a period of up to 4 y revealed a persistent boutonni\u00e8re deformity of the right middle finger. This case report describes envenomation caused by the uncommonly documented bite of a beaded lizard (\n                    <jats:italic toggle=\"yes\">Heloderma<\/jats:italic>\n                    spp) that was presumed by the patient to be the rare Guatemalan beaded lizard (\n                    <jats:italic toggle=\"yes\">H charlesbogerti<\/jats:italic>\n                    ). It illustrates the risks of long-term sequelae that may result from noncompliance with treatment after a helodermatid bite and also reemphasizes concerns about the underground sale of rare, endangered wildlife. Beaded lizard bites can inflict severe local envenomation and potentially cause permanent hand deformities. Proper referral and follow-up are essential to prevent long-term sequelae.\n                  <\/jats:p>","DOI":"10.1177\/10806032261446175","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T13:42:03Z","timestamp":1778161323000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Bite by a Beaded Lizard,\n                    <i>Heloderma<\/i>\n                    spp. (Helodermatidae), Resulting in Local Envenomation and Boutonni\u00e8re Deformity"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6215-4847","authenticated-orcid":false,"given":"Ping","family":"Wu","sequence":"first","affiliation":[{"name":"Chinese University of Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1604-2015","authenticated-orcid":false,"given":"Oi Fung","family":"Wong","sequence":"additional","affiliation":[{"name":"North Lantau Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0986-1428","authenticated-orcid":false,"given":"Hiu Mei","family":"Wan","sequence":"additional","affiliation":[{"name":"North Lantau Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9359-3068","authenticated-orcid":false,"given":"Hin Tat","family":"Fung","sequence":"additional","affiliation":[{"name":"Tuen Mun Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/15563650701733031"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1081\/CLT-120021105"},{"issue":"1","key":"e_1_3_2_4_2","first-page":"74","article-title":"Taxonomic reassessment and conservation status of the beaded lizard, Heloderma horridum (Squamata: helodermatidae)","volume":"7","author":"Reiserer RS","year":"2013","unstructured":"Reiserer RS, Schuett GW, Beck DD. Taxonomic reassessment and conservation status of the beaded lizard, Heloderma horridum (Squamata: helodermatidae). Amphib Reptile Conserv. 2013;7(1):74\u201096. https:\/\/biostor.org\/reference\/192978","journal-title":"Amphib Reptile Conserv"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9258(20)80636-X"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00241369"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1084\/jem.164.6.1835"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9861(88)90594-2"},{"key":"e_1_3_2_9_2","first-page":"274","article-title":"Beck, biology of Gila monsters and beaded lizards","volume":"132","author":"O\u2019Shea M","year":"2006","unstructured":"O\u2019Shea M, Daniel D. Beck, biology of Gila monsters and beaded lizards. Biol Conserv. 2006;132:274\u2010275.","journal-title":"Biol Conserv"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/g3journal\/jkac276"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0736-4679(89)90408-3"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114211015623"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001408010204"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000168884.88016.e1"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001206010036"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10592-022-01448-4"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261446175","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032261446175","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261446175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T07:50:10Z","timestamp":1778485810000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032261446175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,7]]},"references-count":15,"alternative-id":["10.1177\/10806032261446175"],"URL":"https:\/\/doi.org\/10.1177\/10806032261446175","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,7]]},"article-number":"10806032261446175"}}