{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:47:29Z","timestamp":1790628449358,"version":"4.1.0"},"reference-count":14,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3,6]]},"abstract":"<jats:p><jats:italic>Bothrops asper<\/jats:italic>, a highly venomous pit viper distributed from Colombia and northwestern Peru in South America to southern Mexico, is responsible for most snake bites in Central America, affecting especially young agricultural workers. A 17-year-old male from a rural area in northern Honduras was admitted at San Francisco Hospital after a <jats:italic>B. asper<\/jats:italic> bite that had occurred 3 days earlier. The puncture wounds were located on the first toe of the right foot. On the second day of admission, the patient developed dyspnea. A physical examination revealed hypoventilation of the left lung with dullness on 75% of the left lung. Left pleural effusion, approximately 90%, was observed on the chest X-ray. The patient was diagnosed with hemothorax, and a thoracostomy drained 1,350 mL of serosanguineous fluid, followed by the installation of a wet suction control system (Pleur-evac<jats:sup>\u00ae<\/jats:sup>). After 10 days, the patient was discharged. This case illustrates the diversity of hemorrhagic manifestations in envenomations by <jats:italic>B. asper<\/jats:italic>.<\/jats:p>","DOI":"10.4269\/ajtmh.18-0826","type":"journal-article","created":{"date-parts":[[2018,12,27]],"date-time":"2018-12-27T07:00:47Z","timestamp":1545894047000},"page":"714-716","source":"Crossref","is-referenced-by-count":9,"title":["Case Report: Hemothorax in Envenomation by the Viperid Snake Bothrops asper"],"prefix":"10.4269","volume":"100","author":[{"given":"Luis Jos\u00e9","family":"Pinto","sequence":"first","affiliation":[{"name":"Hospital San Francisco, Juticalpa, Honduras;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Lee Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Hospital San Francisco, Juticalpa, Honduras;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Mar\u00eda","family":"Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Instituto Clodomiro Picado, San Jos\u00e9, Costa Rica;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dany Samir","family":"Sim\u00f3n","sequence":"additional","affiliation":[{"name":"Hospital San Francisco, Juticalpa, Honduras;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziomara","family":"Ceballos","sequence":"additional","affiliation":[{"name":"Hospital San Francisco, Juticalpa, Honduras;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Fernando","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Hospital San Francisco, Juticalpa, Honduras;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Sierra","sequence":"additional","affiliation":[{"name":"Universidad Tecnol\u00f3gica Centroamericana, Tegucigalpa, Honduras"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Sci Adv","first-page":"e1500249","article-title":"Snakebites are associated with poverty, weather fluctuations, and El Ni\u00f1o","volume":"1","author":"Chaves","year":"2015"},{"key":"b2","series-title":"Toxicon","first-page":"998","article-title":"Epidemiological, clinical and therapeutic aspects of Bothrops asper bites","volume":"54","author":"Otero-Pati\u00f1o","year":"2009"},{"key":"b3","series-title":"Toxicon","first-page":"904","article-title":"Natural history of the terciopelo Bothrops asper (Serpentes: Viperidae) in Costa Rica","volume":"54","author":"Sasa","year":"2009"},{"key":"b4","series-title":"Mordedura de Serpiente. Bolet\u00edn Epidemiol\u00f3gico A\u00f1os 2014\u20132015.","author":"Sol\u00f3rzano","year":"2016"},{"key":"b5","series-title":"J Venom Anim Toxins Incl Trop Dis","first-page":"7","article-title":"Current challenges for confronting the public health problem of snakebite envenoming in Central America","volume":"20","author":"Guti\u00e9rrez","year":"2014"},{"key":"b6","series-title":"Toxicon","first-page":"958","article-title":"Experimental pathology of local tissue damage induced by Bothrops asper snake venom","volume":"54","author":"Guti\u00e9rrez","year":"2009"},{"key":"b7","series-title":"Handbook of Venoms and Toxins of Reptiles","first-page":"491","article-title":"Snakebite envenomation in Central America","author":"Guti\u00e9rrez","year":"2010"},{"key":"b8","series-title":"Toxicon","first-page":"976","article-title":"Experimental pathophysiology of systemic alterations induced by Bothrops asper snake venom","volume":"54","author":"Guti\u00e9rrez","year":"2009"},{"key":"b9","series-title":"J Proteomics","first-page":"1781","article-title":"Key events in microvascular damage induced by snake venom hemorrhagic metalloproteinases","volume":"74","author":"Escalante","year":"2011"},{"key":"b10","series-title":"Investigaci\u00f3n Cl\u00ednica","first-page":"29","article-title":"Aspectos hemorr\u00e1gicos de las mordeduras de serpientes. Hipofibrinogenemia como hallazgo importante","volume":"3","author":"Luzardo","year":"1962"},{"key":"b11","series-title":"Indian Pediatr","first-page":"242","article-title":"Hemothorax following snakebite","volume":"49","author":"Singh","year":"2012"},{"key":"b12","series-title":"Toxicol Appl Pharmacol","first-page":"17","article-title":"Pulmonary hemorrhage induced by jararhagin, a metalloproteinase from Bothrops jararaca snake venom","volume":"193","author":"Escalante","year":"2003"},{"key":"b13","series-title":"Nat Rev Dis Primers","first-page":"17079","article-title":"Snakebite envenoming","volume":"3","author":"Guti\u00e9rrez","year":"2017"},{"key":"b14","series-title":"J Proteomics","first-page":"340","article-title":"Immunological profile of antivenoms: preclinical analysis of the efficacy of a polyspecific antivenom through antivenomics and neutralization assays","volume":"105","author":"Guti\u00e9rrez","year":"2014"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/100\/3\/article-p714.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/100\/3\/article-p714.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/100\/3\/article-p714.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T11:44:49Z","timestamp":1722426289000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/100\/3\/article-p714.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,6]]},"references-count":14,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.18-0826","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,6]]}}}