{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:38:46Z","timestamp":1790948326340,"version":"4.1.0"},"reference-count":0,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Envenomation and death resulting from snakebites represent a significant public health problem worldwide, particularly in tropical and subtropical regions. The WHO has defined snakebite as a neglected tropical health concern. Bites from <jats:italic>Macrovipera lebetina obtusa<\/jats:italic> usually cause life-threatening systemic hemodynamic disturbances, reduced functionality of the kidneys, and other serious symptoms, including hypotension shock, edema, and tissue necrosis, at the bite site. Herein, we highlight five cases of <jats:italic>M. l. obtusa<\/jats:italic> envenomation that presented with wide-ranging manifestations. Many recovered cases were left with long-term musculoskeletal disabilities. In a particular case, a 15-year-old male patient was envenomed in his palm by an 80-cm <jats:italic>M. l. obtusa<\/jats:italic>. Within 12 hours, swelling extended to near the shoulder. Fasciotomy was performed on the forearm and part of the upper arm of this patient. Symptoms of severe localized pain and swelling, dizziness, weakness, low blood pressure, and itching around the bite area were documented. The patient remained in the hospital for 13 days.<\/jats:p>","DOI":"10.4269\/ajtmh.20-1640","type":"journal-article","created":{"date-parts":[[2021,4,5]],"date-time":"2021-04-05T14:54:35Z","timestamp":1617634475000},"page":"1870-1876","source":"Crossref","is-referenced-by-count":20,"title":["Case Report: Recent Case Reports of Levant Blunt-Nosed Viper Macrovipera lebetina obtusa Snakebites in Iran"],"prefix":"10.4269","volume":"104","author":[{"given":"Seyed Mahdi","family":"Kazemi","sequence":"first","affiliation":[{"name":"1Zagros Herpetological Institute, Qom, Iran;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Al-Sabi","sequence":"additional","affiliation":[{"name":"2College of Engineering and Technology, American University of the Middle East, Egaila, Kuwait;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengbo","family":"Long","sequence":"additional","affiliation":[{"name":"3Key Laboratory of Bioactive Peptides of Yunnan Province\/Key Laboratory of Animal Models and Human Disease Mechanisms of Chinese Academy of Sciences, Kunming Institute of Zoology, KIZ\/CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud I.","family":"Shoulkamy","sequence":"additional","affiliation":[{"name":"4Guangdong Key Laboratory of Genome Stability and Disease Prevention, Shenzhen University School of Medicine, Shenzhen, China;"},{"name":"5Zoology Department, Faculty of Science, Minia University, El-Minia, Egypt;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek Mohamed","family":"Abd El-Aziz","sequence":"additional","affiliation":[{"name":"5Zoology Department, Faculty of Science, Minia University, El-Minia, Egypt;"},{"name":"6Department of Cellular and Integrative Physiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/104\/5\/article-p1870.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/104\/5\/article-p1870.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T20:41:58Z","timestamp":1629924118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/104\/5\/article-p1870.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,5]]},"references-count":0,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.20-1640","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,5]]}}}