Rattlesnake bite accident followed by first psychotic episode

a clinical folklore

Authors

DOI:

https://doi.org/10.5712/rbmfc19(46)3609

Keywords:

Snakebites, Crotalus, Psychotic disorders, Case reports, Folklore.

Abstract

Introduction: Snakebites are neglected diseases and constitute an important part of the morbidity of working-age people who live in rural areas. Most of their short-term effects are widely known, especially those of a clinical nature; however, there is still an important gap in the knowledge of the long-term consequences of such injuries, notably those of a psychotic nature. This article aims to report a case of mental illness subsequent to a rattlesnake bite accident and generate cultural and pathophysiological reflections regarding the consequences of such events. Case presentation: An adolescent residing in the interior of the state of Bahia was bitten by a rattlesnake and required hospitalization in an intensive care unit. It was observed that even after clinical improvement, the case started with prodromal psychotic symptoms and progressed to severe mental deterioration that culminated in psychiatric hospitalization and diagnosis of schizophrenia over the following months. Conclusions: In this case, there was a direct correlation between these two events, but because of the scarcity of scientific works that address such issues, it is necessary to investigate and study in greater depth possible associations between snakebite accidents and psychoses.

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Author Biographies

Rafael, Escola Superior de Ciências da Saúde / Hospital de Base do Distrito Federal – Brasília (DF), Brazil.

Family Doctor graduated from the University of Brasília and with a medical residency in Family and Community Medicine from the Escola Superior de Ciências da Saúde. He did a sandwich degree at Radboud University for one year in Nijmegen in the Netherlands through the Science without Borders program. He was also a scholarship student of the Young Talents for Science program (CAPES and CNPq). He worked as a sub-investigator physician at the Butantan Institute. He is currently a resident physician in Psychiatry at the Hospital de Base do Distrito Federal.

Régis Eric Maia Barros, Hospital de Base do Distrito Federal – Brasília (DF), Brazil.

Psychiatrist graduated from the Federal University of Ceará and with medical residency in Psychiatry and also in Psychotherapy from the Faculty of Medicine of Ribeirão Preto, University of São Paulo. Master and PhD in Mental Health from the Faculty of Medicine of Ribeirão Preto, University of São Paulo.

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Published

2024-05-12

How to Cite

1.
Almeida RF de, Eric Maia Barros R. Rattlesnake bite accident followed by first psychotic episode: a clinical folklore. Rev Bras Med Fam Comunidade [Internet]. 2024 May 12 [cited 2024 Oct. 25];19(46):3609. Available from: https://rbmfc.org.br/rbmfc/article/view/3609

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Section

Clinical Cases

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