Envenomation by a Razi’s Viper, Macrovipera razii (Serpentes: Viperidae) in Iran: A Neglected Public Health Threat, Report of Two Cases, and Clinical Implications
Envenomation by a Razi’s Viper, Macrovipera razii (Serpentes: Viperidae) in Iran: A Neglected Public Health Threat, Report of Two Cases, and Clinical Implications
Envenomation by a Razi’s Viper, Macrovipera razii (Serpentes: Viperidae) in Iran: A Neglected Public Health Threat, Report of Two Cases, and Clinical Implications Abstract Snakebite envenomation remains a significant global health concern, with viperid snakes responsible for substantial mortality and disability. In Iran, the genus Macrovipera is of considerable medical importance. Macrovipera razii is an endemic Iranian species distributed across central and southern regions of the country; however, detailed clinical reports of envenomation by this species remain scarce. We report two cases of M. razii envenomation from Iran. The first case involved a 36-year-old male who sustained a bite to the middle finger in Nazmabad, Arak, Markazi Province, Iran, in 2017. He was admitted to hospital approximately 15 min after the bite and received six vials of polyvalent antivenom. Progressive local tissue injury developed, followed by severe necrosis of the affected finger, resulting in ...
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