Osteomyelitis by Proteus spp after snake bite – Account of a still neglected tropical illness

Background: Serum therapy is used in accidents intervention. After the bite, proposed treatment based on snake's type and size, symptomatology for light, moderate or grave ones. Despite serum therapy's beneficial evidence, there need monitoring systematic follow-up first seven days after accident. Aim: To report case intervention with emergence of osteomyelitis by Proteus spp. occurred five weeks immediately snake bite. Methods: Case an adolescent individual aged 17, male, bitten at proximal third lower left limb (LLL) living rural zone Mato Grosso (MT) countryside, Brazil. Immediate was made antiphospholipid 20 minutes A single dose Benzetacil® (Benzathine benzylpenicillin) prescribed 48 hours accident, associated anti-inflammatory corticosteroid. The patient's re-internment antibiotic fifth day could not prevent tibia bone. solve case, two surgical interventions were required. For data analysis, initial final moments exams' values compared, concurring to assessment MRI imaging. Results: It found 3,5 cm nuclear MRI, result anterior fibular tibial muscle culture, bone fragment tibia, spp bacteria. Conclusions: possible conclude that, ophidic accidents, one must take into account possibility immune system may respond bacterian microorganisms infected patient, being needed administration antibiotics either positive negative gram. Such measures would avoid systemic wounds, longer internments installation physical deficiencies increase health costs.