{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T21:49:35Z","timestamp":1791323375063,"version":"4.3.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2002,3,1]],"date-time":"2002-03-01T00:00:00Z","timestamp":1014940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hum Exp Toxicol"],"published-print":{"date-parts":[[2002,3]]},"abstract":"<jats:p>\n                    Vipera aspis aspis (V.a.a.) is the most dangerous poisonous snake in South-Eastern France. The clinical symptoms observed after V.a.a. envenomations involve mostly local signs (pain, edema) associated in the more severe cases with systemic symptoms (gastro-intestinal and cardiovascular manifestations). Since 1992, several unusual cases of moderate and severe `neurotoxic\u2019 envenomations by V.a.a. snakes have been reported in a very localized area in South-Eastern France. Most of the human patients mainly suffered neurological signs owing to cephalic muscle paralysis. Drowsiness and dyspnea were observed for the most severe cases. Envenomed animals suffered respiratory distress and paralysis. The local signs were never as severe as observed after envenomations by vipers in other French regions. Human patients with moderate or severe clinical features received two intravenous injections of Viperfav\n                    <jats:sup>2<\/jats:sup>\n                    antivenom, the first dose inducing the decrease of the neurological signs and the second reducing significantly the edema. Neurotoxic components immunologically cross-reacting with toxins from V. ammodytes ammodytes venom from Eastern Europe were detected in the blood of all patients suffering neurological symptoms after a V.a.a. bite. The protective efficacy of various antivenoms was evaluated in mice. The existence of geographical variations in the composition of V.a.a. venom emphasizes on the use of polyvalent antivenom in the treatment of viper envenomations in France. Human &amp; Experimental Toxicology (2002) 21, 137 \u2013 145.\n                  <\/jats:p>","DOI":"10.1191\/0960327102ht226oa","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T08:37:47Z","timestamp":1027759067000},"page":"137-145","source":"Crossref","is-referenced-by-count":50,"title":["Unusual neurotoxic envenomations byVipera aspis aspis snakes in France"],"prefix":"10.1177","volume":"21","author":[{"given":"L","family":"de Haro","sequence":"first","affiliation":[{"name":"Centre Anti-Poisons, H\u00f4pital Salvator, 249, Bd Sainte                         Marguerite, 13274 Marseille Cedex 9, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Robbe-Vincent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Saliou","sequence":"additional","affiliation":[{"name":"Unit\u00e9 des Venins, Institut Pasteur, 25, rue du Dr Roux, 75724                         Paris Cedex 15, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Valli","sequence":"additional","affiliation":[{"name":"Centre Anti-Poisons, H\u00f4pital Salvator, 249, Bd Sainte                         Marguerite, 13274 Marseille Cedex 9, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Bon","sequence":"additional","affiliation":[{"name":"Unit\u00e9 des Venins, Institut Pasteur, 25, rue du Dr Roux, 75724                         Paris Cedex 15, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Choumet","sequence":"additional","affiliation":[{"name":"Unit\u00e9 des Venins, Institut Pasteur, 25, rue du Dr Roux, 75724                         Paris Cedex 15, France;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2002,3,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/0041-0101(93)90380-2"},{"key":"atypb2","first-page":"209","volume":"97","author":"Samel M","year":"1990","journal-title":"Comp Biochem Physiol"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/0041-0101(90)90073-G"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/0020-711X(93)90363-J"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/0041-0101(92)90854-X"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1016\/S0041-0101(97)00168-2"},{"key":"atypb7","first-page":"62","volume":"39","author":"Pozio E","year":"1988","journal-title":"Trop Med Parasitol"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.54.2.187"},{"key":"atypb9","first-page":"220","volume":"30","author":"Stoebner PE","year":"2001","journal-title":"Presse Med"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1515\/bchm3.1987.368.1.343"},{"key":"atypb11","first-page":"20","volume":"265","author":"de Haro L","year":"1994","journal-title":"Rev Prat MG"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1016\/0014-5793(89)81185-8"},{"key":"atypb13","unstructured":"WHO. 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In Atlas de r\u00e9partition des amphibiens et                 reptiles de France, ed. Soci\u00e9t\u00e9 Herp\u00e9tologique de                 France. Paris, 1989: 1991."}],"container-title":["Human &amp; Experimental Toxicology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1191\/0960327102ht226oa","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1191\/0960327102ht226oa","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:48:18Z","timestamp":1777448898000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1191\/0960327102ht226oa"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,3]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2002,3]]}},"alternative-id":["10.1191\/0960327102ht226oa"],"URL":"https:\/\/doi.org\/10.1191\/0960327102ht226oa","relation":{},"ISSN":["0960-3271","1477-0903"],"issn-type":[{"value":"0960-3271","type":"print"},{"value":"1477-0903","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,3]]}}}