{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T10:19:33Z","timestamp":1776507573409,"version":"3.51.2"},"reference-count":35,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T00:00:00Z","timestamp":1722988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Council for Scientific and Technological Development","award":["305778\/2023-4"],"award-info":[{"award-number":["305778\/2023-4"]}]},{"name":"National Council for Scientific and Technological Development","award":["136829\/2022-8"],"award-info":[{"award-number":["136829\/2022-8"]}]},{"name":"National Council for Scientific and Technological Development","award":["01.02.016301.01070\/2023-13"],"award-info":[{"award-number":["01.02.016301.01070\/2023-13"]}]},{"name":"FAPEAM","award":["305778\/2023-4"],"award-info":[{"award-number":["305778\/2023-4"]}]},{"name":"FAPEAM","award":["136829\/2022-8"],"award-info":[{"award-number":["136829\/2022-8"]}]},{"name":"FAPEAM","award":["01.02.016301.01070\/2023-13"],"award-info":[{"award-number":["01.02.016301.01070\/2023-13"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Unlike the well-documented bothropic and crotalid snakebites in Brazil, lachetic envenomings (i.e., triggered by the bushmaster snake) are rare and present significant diagnostic challenges. This case describes a severe envenoming induced by a Lachesis muta snake in a 26-year-old Brazilian man who was bitten near a forest in November 2022. Characteristic symptoms such as sweating and bradycardia pointed towards lachetic envenoming, but initial misdiagnosis as a bothropic bite resulted in a delay in appropriate antivenom therapy. Despite later receiving the correct treatment, the severity of the envenoming necessitated the amputation of a finger and triggered a severe infection. This report highlights the challenges of diagnosing and treating Lachesis spp. bites due to their rarity. Moreover, an overview of lachetic-induced signs and symptoms was explored. This study emphasizes that further reports are warranted to improve understanding of Lachesis muta envenoming and to optimize treatment strategies.<\/jats:p>","DOI":"10.3390\/reports7030068","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T15:04:24Z","timestamp":1723129464000},"page":"68","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Severe Bushmaster Snakebite Envenoming: Case Report and Overview"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5416-0419","authenticated-orcid":false,"given":"Allan Quadros","family":"Garc\u00eas-Filho","sequence":"first","affiliation":[{"name":"Medical School, Federal University of Roraima, Boa Vista 69300-000, Roraima, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Humberto H. M.","family":"Santos","sequence":"additional","affiliation":[{"name":"Medical School, Federal University of Roraima, Boa Vista 69300-000, Roraima, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thays K. P. P.","family":"Aguiar","sequence":"additional","affiliation":[{"name":"Medical School, Federal University of Roraima, Boa Vista 69300-000, Roraima, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dafnin L. S.","family":"Ramos","sequence":"additional","affiliation":[{"name":"Medical School, Federal University of Roraima, Boa Vista 69300-000, Roraima, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7467-3692","authenticated-orcid":false,"given":"Luis E. B.","family":"Galan","sequence":"additional","affiliation":[{"name":"Medical School, Federal University of Roraima, Boa Vista 69300-000, Roraima, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domingos S. M.","family":"Dantas","sequence":"additional","affiliation":[{"name":"Programa Doutoral de Bio\u00e9tica, Faculdade de Medicina do Porto, 4200-319 Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe A.","family":"Cerni","sequence":"additional","affiliation":[{"name":"Medical School, Federal University of Roraima, Boa Vista 69300-000, Roraima, Brazil"},{"name":"Graduate Program in Tropical Medicine (PPGMT), State University of Amazonas, Manaus 69065-001, Amazonas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto C.","family":"Carbonell","sequence":"additional","affiliation":[{"name":"Medical School, Federal University of Roraima, Boa Vista 69300-000, Roraima, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2594-7068","authenticated-orcid":false,"given":"Manuela B.","family":"Pucca","sequence":"additional","affiliation":[{"name":"Department of Clinical Analysis, School of Pharmaceutical Sciences, S\u00e3o Paulo State University (UNESP), Campus Araraquara, Araraquara 17033-360, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s40409-017-0127-6","article-title":"Snakebite Envenomation Turns Again into a Neglected Tropical Disease!","volume":"23","author":"Chippaux","year":"2017","journal-title":"J. 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