{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:20:43Z","timestamp":1773224443617,"version":"3.50.1"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<jats:p>&lt;i&gt;&lt;\/i&gt;According to the World Health Organization (WHO), there are 4.5-5.4 million snakebites each year, and 1.8-2.7 million people develop symptomatic poisoning. Complications lead to the death of 81,000-138,000 patients annually and result in limb amputations or permanent disability in approximately 400,000 patients.\nThis study aims to underscore the importance of early diagnosis and treatment for patients bitten by &lt;i&gt;Vipera berus&lt;\/i&gt;, as well as the need for education regarding the management of such cases.\nThe paper presents the case of a 64-year-old female patient without comorbidities who was admitted to the Department of Infectious Diseases and Neuroinfections due to a&lt;i&gt; Vipera berus&lt;\/i&gt; bite.\nA physical examination revealed severe bruising and swelling of the right upper limb, as well as numerous hemorrhages covering the right half of the chest. In the following days, increasing swelling and spreading of the bruises were observed. Laboratory results showed anemia resulting from hemolysis of blood components. Over time, the bruising was gradually absorbed, and the swelling of the limb decreased.\nThis case highlights the importance of prompt diagnosis and monitoring of local symptoms and coagulation parameters, rapid antitoxin administration, close observation of patients due to the risk of later deterioration, and education on management and differential diagnosis.\n\n&lt;b&gt;&lt;\/b&gt;<\/jats:p>","DOI":"10.32394\/pe\/218785","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T13:30:28Z","timestamp":1773149428000},"source":"Crossref","is-referenced-by-count":0,"title":["Vipera berus bite at the place of residence: A case report"],"prefix":"10.32394","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8589-5977","authenticated-orcid":false,"given":"Dawid","family":"Wojciulik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Szczepa\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrycja","family":"Niewrza\u0142","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka Joanna","family":"Wasilewska - Chrzanowska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daria Anna","family":"Majchrzak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5695-1652","authenticated-orcid":false,"given":"Joanna","family":"Zajkowska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2026,3,10]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Uk\u0105szenie przez \u017cmij\u0119 zygzakowat\u0105 w miejscu zamieszkania \u2013 opis przypadku"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-218785-136414","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-218785-136414","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T13:30:28Z","timestamp":1773149428000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Ukaszenie-przez-zmije-zygzakowata-w-miejscu-zamieszkania-opis-przypadku,218785,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":0,"alternative-id":["218785"],"URL":"https:\/\/doi.org\/10.32394\/pe\/218785","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]}}}