PESQUISA VETERINÁRIA BRASILEIRA

Abstract in English:

Snakebites are included in the group of emergencies for domestic animals, and these consultations demand technical knowledge as well as careful clinical evaluation of patients. Because of the importance of this theme and the higher prevalence of snakebites caused by snakes of the genus Bothrops in Rio Grande do Sul state, Brazil, this study aimed to address the epidemiological and clinical aspects of these accidents in dogs in the state, in addition to establishing their incidence. Clinical records of dogs, with a diagnosis of ophidian bothropic accident, assisted at the Toxicological Information Center of Rio Grande do Sul (CIT-RS) were revised from 2014 to 2016. These data were collected at the Toxicological Information Center, Statistics and Evaluation Center, State Secretary of Health. Data on the incidence of accidents and epidemiological and clinical information were obtained for each case. A total of 53 records were revised. In the records that included animal sex (n=49), 53% were female and 46.9% were male. As for animal age (n=47), the dogs ranged from one to 14 years, and most of them (46.9%) were in the 1-4-year age group. Over half of the cases occurred in the rural area (60.7%), and the head and neck were the main venom inoculation sites (76.3%). Diseases were characterized by clinical courses varying from hyperacute (<30 min to 6h), acute (6-24h), to subacute (4-5 days). Severe accidents accounted for 40% of the cases, with edema as the most frequent clinical sign (88.7%) followed by hemorrhagic manifestations (41.5%). Associations of epidemiological and clinical aspects coupled with history of exposure are important characteristics to assist with suspicion and definitive diagnosis of bothropic accidents in dogs.

• Canine diseases ophidian accidents Bothrops spp. Rio Grande do Sul toxicoses

Abstract in Portuguese:

Os acidentes ofídicos se enquadram no grupo de emergências para animais domésticos e esses atendimentos demandam conhecimento técnico, aliado a uma criteriosa avaliação clínica do paciente. Devido à importância do tema e a maior frequência de acidentes ofídicos provocados por serpentes do gênero Bothrops no Rio Grande do Sul, esse estudo teve como objetivo abordar os aspectos epidemiológicos e clínicos desses acidentes em cães nesse estado, além de estabelecer a frequência em que ocorrem. Foram revisados os protocolos de atendimentos clínicos de cães realizados pelo Centro de Informações Toxicológicas do Rio Grande do Sul (CIT-RS) com diagnóstico de acidente ofídico botrópico, entre o período de 2014 e 2016. Esses dados fazem parte do Centro de informação Toxicológica, Secretaria da Saúde, RS, Núcleo de Estatística e Avaliação. Foram obtidos dados relacionados à frequência dos acidentes e informações referentes à epidemiologia e à clínica de cada caso. Totalizaram-se 53 registros de atendimentos. Dos protocolos que informaram o sexo (n=49), 53% corresponderam a fêmeas e 46,9%, a machos. Em relação à idade (n=47), houve uma variação entre um e 14 anos, com maior concentração dos casos entre 1-4 anos (46,9%). Mais da metade dos atendimentos ocorreu em zona rural (60,7%) e a cabeça e o pescoço foram os principais locais de inoculação do veneno botrópico (76,3%). Observou-se uma doença com um curso que variou de hiperagudo (<30 min à 6h), agudo (6-24h) a subagudo (4-5 dias). Acidentes graves representaram 40% dos casos, no qual edema foi o sinal clínico mais frequente (88,7%), seguido por manifestações hemorrágicas (41,5%). A associação dos aspectos epidemiológicos e clínicos, aliados ao histórico de exposição, constituem características importantes que auxiliam na suspeita e no diagnóstico definitivo do acidente botrópico em animais.

• Doenças de caninos acidentes ofídicos Bothrops spp. Rio Grande do Sul toxicoses

Abstract in English:

ABSTRACT.- Tokarnia C.H., Brito M.F., Barbosa J.D. & Döbereiner J. 2014. [Clinical and pathological pictures of snakebite poisoning by Crotalus durissus terrificus and Bothrops spp. in livestock.]Quadros clínico-patológicos do envenenamento ofídico por Crotalus durissus terrificus e Bothrops spp. em animais de produção. Pesquisa Veterinária Brasileira 34(4):301-312. Departamento de Nutrição Animal e Pastagem, Instituto de Zootecnia, Universidade Federal Rural do Rio de Janeiro, Seropédica, RJ 23890-000, Brazil. E-mail: tokarnia@ufrrj.br A review was performed about the clinical and pathological pictures caused by the venoms of Crotalus durissus terrificus and Bothrops spp. in cattle, buffaloes, horses, sheep and swine. The data were compiled from experiments in livestock species found in the literature, from experimentation accomplished by our research group, and from communicated natural cases of snakebite poisoning. The most important data were placed on two Tables, the analysis of which revealed some interesting aspects: (1) in our experiments the venom of Crotalus durissus terrificus caused in horses severe edema at the site of subcutaneous injection, to the contrary as observed in all other experimental animal species, an aspect not recorded in the literature; (2) in our experiments the venom of Bothrops species in cattle, sheep and horses, injected subcutaneously, did not cause edema as generally reported in the literature, but caused severe subcutaneous hemorrhages at the injection site. In the non fatal cases the blood was reabsorbed in a few days without leaving sequelae; exception was the reaction to the venom of Bothrops jararacussu, which caused edema in the experimental sheep, and severe tumefaction resulting in fistulous elimination of serous liquid in the experimental horses. The aim of this study was to contribute for the diagnostic of snakebite accidents in livestock.

• Snake venom poisoning Crotalus durissus terrificus Bothrops spp. envenenamento ofídico

Abstract in Portuguese:

RESUMO.- Tokarnia C.H., Brito M.F., Barbosa J.D. & Döbereiner J. 2014. [Clinical and pathological pictures of snakebite poisoning by Crotalus durissus terrificus and Bothrops spp. in livestock.]Quadros clínico-patológicos do envenenamento ofídico por Crotalus durissus terrificus e Bothrops spp. em animais de produção. Pesquisa Veterinária Brasileira 34(4):301-312. Departamento de Nutrição Animal e Pastagem, Instituto de Zootecnia, Universidade Federal Rural do Rio de Janeiro, Seropédica, RJ 23890-000, Brazil. E-mail: tokarnia@ufrrj.br Foi realizada uma revisão dos quadros clínico-patológicos causados pelos venenos de Crotalus durissus terrificus e Bothrops spp. em bovinos, búfalos, ovinos equinos e suínos. Foram compilados os dados obtidos pela experimentação em animais de produção encontrados na literatura e os obtidos através de experimentação realizada por nossa equipe. Também foram revisados os casos naturais de envenenamento ofídico comunicados. Em dois Quadros foram lançados os mais importantes dados dessas revisões, que revelou diversos aspectos interessantes: 1) em nossos experimentos, o veneno de Crotalus durissus terrificus, quando injetado por via subcutânea em cavalos, causou um edema acentuado no local da aplicação, ao contrário do que tem sido observado em todas as outras espécies animais, aspecto não relatado na literatura; 2) em nossos experimentos, o veneno de diversas espécies de Bothrops, quando injetado por via subcutânea em bovinos, ovinos e equinos, não causou edema como em geral é relatado na literatura, e sim hemorragias subcutâneas acentuadas no local da aplicação. Nos casos não fatais este sangue era reabsorvido em poucos dias sem deixar sequelas. Exceção foi a reação ao veneno de Bothrops jararacussu, que causou edema nos ovinos experimentais, e tumefação acentuada que resultou em fístula com eliminação de líquido seroso nos equinos experimentais. O objetivo do presente estudo visa contribuir para o aperfeiçoamento do diagnóstico de acidentes ofídicos em animais de produção.

Abstract in English:

ABSTRACT.- Sousa M.G., Tokarnia C.H., Brito M.F., Reis A.B., Oliveira C.M., Freitas N.F., Oliveira C.H. & Barbosa J.D. 2011. [Clinical and pathological aspects of the experimental poisoning by Bothrops snakes in horses.] Aspectos clínico-patológicos do envenenamento botrópico experimental em equinos. Pesquisa Veterinária Brasileira 31(9):773-780. Central de Diagnóstico Veterinário, Universidade Federal do Pará, Rua Maximino Porpino da Silva 1000, Pirapora, Castanhal, PA 68743-080, Brazil. E-mail: Melina_garcia 19@hotmail.com The clinical and pathological alterations in horses, experimentally inoculated with Bothropoides jararaca, Bothrops jararacussu, Bothrops moojeni and Bothropoides neuwiedi poisons, were studied with the purpose to supply subsidies for the diagnosis of the poisoning. The liofilized poisons were diluted in 1ml of physiologic solution and subcutaneously administered to six horses, at doses of 0.5 and 1mg/kg (B. jararaca), 0.8 and 1.6mg/kg (B. jararacussu), 0.205mg/kg (B. moojeni) and 1mg/kg (B. neuwiedi). All horses, less those that received the poison of B. jararacussu, died The clinical signs began between 8min and 2h10min after the inoculation. The clinical course varied, in the four cases of lethal exit, from 24h41min to 70h41min, and was 16 days in the two horses that recovered,. The clinical picture, independent of the poison type and doses, was characterized by tumefaction at the site of inoculation, dragging on the ground with the hooves of the inoculated leg, inquietude, apathy, decrease of reaction to external stimuli, pale mucous membranes and hemorrhages. Laboratory exams revealed normocytic normochrômic anemia with progressive decrease in the number of erythrocytes, of hemoglobin and of the hematocrit, and leucocytosis due to neutrophilia. There was increase of alamina aminotransferase, creatinaquinase, lactic dehydrogenase, ureia and glucose, as well increase of the time of activation of protrombin and partial tromboplastina. At postmortem examination, the main findings were extensive hemorrhagic areas in the subcutaneous tissue, with the presence of non-coagulated blood, to a large degree associataed with edema (hemorragic edema), which extended from the inoculation site of the venom to the cervical, thoraxic and scapular region, and to the leg. In the periphery of the hemorragic areas existed gelatinous edema. There were great amounts of sanguinary liquid in the thoracic, pericardic and abdominal cavities. No significant histological alterations were found.

• Poisoning by Bothrops snakes Bothrops spp. envenenamento botrópico

Abstract in Portuguese:

RESUMO.- Sousa M.G., Tokarnia C.H., Brito M.F., Reis A.B., Oliveira C.M., Freitas N.F., Oliveira C.H. & Barbosa J.D. 2011. [Clinical and pathological aspects of the experimental poisoning by Bothrops snakes in horses.] Aspectos clínico-patológicos do envenenamento botrópico experimental em equinos. Pesquisa Veterinária Brasileira 31(9):773-780. Central de Diagnóstico Veterinário, Universidade Federal do Pará, Rua Maximino Porpino da Silva 1000, Pirapora, Castanhal, PA 68743-080, Brazil. E-mail: Melina_garcia 19@hotmail.com Estudou-se as alterações clínico-patológicas e laboratoriais em equinos, inoculados experimentalmente com a peçonha de Bothropoides jararaca, Bothrops jararacussu, Bothrops moojeni e Bothropoides neuwiedi, com a finalidade de fornecer subsídios para o diagnóstico do envenenamento pela picada dessas. Os venenos liofilizados foram diluídos em 1ml de solução fisiológica e administrados a seis equinos, por via subcutânea, nas doses de 0,5 e 1mg/kg (B. jararaca), 0,8 e 1,6mg/kg (B. jararacussu), 0,205mg/kg (B. moojeni) e 1mg/kg (B. neuwiedi). Todos os equinos, menos os que receberam o veneno de B. jararacussu, morreram Os sinais clínicos iniciaram-se entre 8min e 2h10min após a inoculação. O período de evolução variou, nos quatro casos de êxito letal, de 24h41min a 70h41min, e nos dois equinos que se recuperaram foi de 16 dias. O quadro clínico, independente do tipo de veneno e das doses, caracterizou-se por aumento de volume no local da inoculação, arrastar da pinça do membro inoculado no solo, inquietação, apatia, diminuição da resposta aos estímulos externos, mucosas pálidas e hemorragias. Os exames laboratoriais revelaram anemia normocítica normocrômica com progressiva diminuição no número de hemácias, da hemoglobina e do hematócrito, e leucocitose por neutrofilia. Houve aumento de alamina aminotransferase, creatinaquinase, dehidrogenase láctica, ureia e glicose, bem como aumento do tempo de ativação da protrombina e do tempo de tromboplastina parcial ativada. Os achados de necropsia foram extensas hemorragias no tecido subcutâneo, com presença de sangue não coagulado e em boa parte associadas a edema (edema hemorrágico), que se estendia desde o local da inoculação até as regiões cervical, torácica, escapular e membro. Na periferia das áreas hemorrágicas havia predominantemente edema gelatinoso. Havia ainda presença de grande quantidade de líquido sanguinolento nas cavidades torácica, pericárdica e abdominal. Não foram encontradas alterações histológicas significativas.

Abstract in English:

ABSTRACT.- Tokarnia C.H. & Peixoto P.V. 2005. [The importance of snake bites as cause of cattle death in Brazil.] A importância dos acidentes ofídicos como causa de mortes em bovinos no Brasil. Pesquisa Veterinária Brasileira 26(2):55-68. Projeto Sanidade Animal Embrapa/UFRRJ, Km 47, Seropédica, RJ 23890-000, Brazil. E-mail: tokarnia@ufrrj.br A review of the literature shows that opinions on the importance of snake bites as cause of cattle death in Brazil are divergent among veterinarians; some think they are of no importance or of only minor significance, others are of the opinion that snake bites are frequent. However, the literature only reports two confirmed fatal cases by Bothrops and none by Crotalus in cattle in the country. A questionnaire which was submitted for appraisal to veterinary pathologists and clinicians in various States of Brazil, revealed only suspected cases of fatal accidents by snakes in cattle. During our field and laboratory diagnostic work we never made a diagnosis of a snake bite accident. Many “diagnoses” have apparently been made at a distance from where the animals died, without clinical and post-mortem examination, nor histological studies. By this way, the great majority of cases seems to be only supposition. In Brazil there are only few snakes of the genus Bothrops theoretically able to produce sufficient amounts of venom to kill an adult bovine. Nevertheless, in experiments, only Bothrops alternatus was able to cause the death of just one out of three bovines bitten, and this animal only weighed 279 kg. Snakes of the genus Crotalus can produce sufficient amounts of venom to kill an adult bovine; however it is known, that snakes of the genus Crotalus as well as of Bothrops generally inoculate only a part of their venom. These considerations indicate that the deaths suspected to have been caused by snake bites in cattle in Brazil have to be studied more thoroughly. A diagnosis can only be confirmed by establishing the precise clinical and pathological picture. Our current opinion is that fatal snake bites are much less frequent in cattle than often believed, and that their importance is generally much exaggerated.

• Snake bites snakes Crotalus spp Bothrops spp cattle.

Abstract in Portuguese:

ABSTRACT.- Tokarnia C.H. & Peixoto P.V. 2005. [The importance of snake bites as cause of cattle death in Brazil.] A importância dos acidentes ofídicos como causa de mortes em bovinos no Brasil. Pesquisa Veterinária Brasileira 26(2):55-68. Projeto Sanidade Animal Embrapa/UFRRJ, Km 47, Seropédica, RJ 23890-000, Brazil. E-mail: tokarnia@ufrrj.br A review of the literature shows that opinions on the importance of snake bites as cause of cattle death in Brazil are divergent among veterinarians; some think they are of no importance or of only minor significance, others are of the opinion that snake bites are frequent. However, the literature only reports two confirmed fatal cases by Bothrops and none by Crotalus in cattle in the country. A questionnaire which was submitted for appraisal to veterinary pathologists and clinicians in various States of Brazil, revealed only suspected cases of fatal accidents by snakes in cattle. During our field and laboratory diagnostic work we never made a diagnosis of a snake bite accident. Many “diagnoses” have apparently been made at a distance from where the animals died, without clinical and post-mortem examination, nor histological studies. By this way, the great majority of cases seems to be only supposition. In Brazil there are only few snakes of the genus Bothrops theoretically able to produce sufficient amounts of venom to kill an adult bovine. Nevertheless, in experiments, only Bothrops alternatus was able to cause the death of just one out of three bovines bitten, and this animal only weighed 279 kg. Snakes of the genus Crotalus can produce sufficient amounts of venom to kill an adult bovine; however it is known, that snakes of the genus Crotalus as well as of Bothrops generally inoculate only a part of their venom. These considerations indicate that the deaths suspected to have been caused by snake bites in cattle in Brazil have to be studied more thoroughly. A diagnosis can only be confirmed by establishing the precise clinical and pathological picture. Our current opinion is that fatal snake bites are much less frequent in cattle than often believed, and that their importance is generally much exaggerated.