ENVENIMATIONS VIPERINES

Rational:The viper envenomations are a real public health problem in Morocco more deaths reported each year. It is medical-surgical emergency which can be daunting and life-threatening, as well the patients functional prognosis. Patients Methods or Material Methods:We present 24 cases of serious envenomation, on retrospective study extended over period 9 years from 2010 to 2019, through literature review we clarify following aspects: epidemiological, pathophysiological, clinical therapeutic. Inclusion criteria: The presence traces hooks with at least one locoregional / general sign envenomation. actual snake question its description by witness victim. Results:This that interested 12 men 13 women, mean age 41 years. bites were due vipers, species was known cerastescerastes type two cases, MacroviperaMauritanica case. had consumptive coagulopathy table ischemic stroke, case hypovolemic shock 4 hemorrhagic shock, ten compartment syndrome treated fasciotomy discharge.11 received anti venom serum improvement reduction complications. Discussion:The poison vipers chemical proteinaceous essential components: toxins enzymes. These proteins responsible for observed symptoms. severity envenomation related plasma concentration venom. definition early biological criteria gravity has better assess therapeutic indications. Processing considerably simplified past decade. medical care based symptomatic therapy component associated specific therapy. On treatment these immunoglobulins onset signs grades II III reduces morbidity, sequelae total cost care. Conclusion:Improving prognosis involves information education good only achieved close collaboration between.