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Archives de pédiatrie
Volume 24, n° 8
pages 749-751 (août 2017)
Doi : 10.1016/j.arcped.2017.05.014
Received : 17 November 2016 ;  accepted : 30 May 2017
Syndrome de détresse respiratoire aiguë secondaire à une envenimation vipérine chez l’enfant
Acute respiratory distress syndrome secondary to a viper envenomation in children

G.S. Irié bi , K.E. Kouame, Y. Pete, B. Ogondon, C. N’da-koffi, K.S. Kouadio, N. Boua, Y. Brouh
 Service d’anesthésie-réanimation, CHU de Bouaké, BP 1174, 00225 Bouaké, Cote d’Ivoire 

Auteur correspondant.

Les envenimations vipérines sont responsables de troubles inflammatoires, hémorragiques et de nécroses locales ou étendues. La survenue de complications respiratoires à type de syndrome de détresse respiratoire aiguë (SDRA) est exceptionnelle. Nous rapportons le cas d’un adolescent de 15 ans sans antécédents particuliers qui a présenté, 24heures après la morsure d’une vipère, une tuméfaction du membre inférieur droit associé à des troubles de la crase sanguine. Malgré l’administration d’un traitement antivenimeux, l’évolution a été marquée par la survenue d’un SDRA et le décès de l’adolescent en moins de 48heures.

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Viper envenomation is responsible for inflammatory disorders, hemorrhagic complications, and local or extended necrosis. The occurrence of respiratory complications such as Acute Respiratory Distress Syndrome (ARDS) is exceptional. We report on the case of a 15-year-old with no particular history who had, 24h after a viper bite, swelling of the right lower limb associated with blood dyscrasia. Despite the administration of antivenom treatment, the progression was marked by the onset of ARDS and the patient's death within 48h.

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