{"id":"https://openalex.org/W3146742007","doi":"https://doi.org/10.4269/ajtmh.20-1640","title":"Case Report: Recent Case Reports of Levant Blunt-Nosed Viper Macrovipera lebetina obtusa Snakebites in Iran","display_name":"Case Report: Recent Case Reports of Levant Blunt-Nosed Viper Macrovipera lebetina obtusa Snakebites in Iran","publication_year":2021,"publication_date":"2021-04-05","ids":{"openalex":"https://openalex.org/W3146742007","doi":"https://doi.org/10.4269/ajtmh.20-1640","mag":"3146742007","pmid":"https://pubmed.ncbi.nlm.nih.gov/33819174","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8103458"},"language":"en","primary_location":{"id":"doi:10.4269/ajtmh.20-1640","doi":"https://doi.org/10.4269/ajtmh.20-1640","is_oa":false,"landing_page_url":"https://doi.org/10.4269/ajtmh.20-1640","pdf_url":null,"source":{"id":"https://openalex.org/S100045985","display_name":"American Journal of Tropical Medicine and Hygiene","issn_l":"0002-9637","issn":["0002-9637","1476-1645"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315658","host_organization_name":"American Society of Tropical Medicine and Hygiene","host_organization_lineage":["https://openalex.org/P4310315658"],"host_organization_lineage_names":["American Society of Tropical Medicine and Hygiene"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Tropical Medicine and Hygiene","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8103458/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002918200","display_name":"Seyed Mahdi Kazemi","orcid":"https://orcid.org/0000-0002-8571-7371","observed_orcids":["https://orcid.org/0000-0002-8571-7371"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Seyed Mahdi Kazemi","raw_affiliation_strings":["1Zagros Herpetological Institute, Qom, Iran;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Zagros Herpetological Institute, Qom, Iran;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091687593","display_name":"Ahmed Al-Sabi","orcid":"https://orcid.org/0000-0002-1957-7569","observed_orcids":["https://orcid.org/0000-0002-1957-7569"]},"institutions":[{"id":"https://openalex.org/I2803079837","display_name":"American University of the Middle East","ror":"https://ror.org/02gqgne03","country_code":"KW","type":"education","lineage":["https://openalex.org/I2803079837"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Ahmed Al-Sabi","raw_affiliation_strings":["2College of Engineering and Technology, American University of the Middle East, Egaila, Kuwait;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2College of Engineering and Technology, American University of the Middle East, Egaila, Kuwait;","institution_ids":["https://openalex.org/I2803079837"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112435981","display_name":"Chengbo Long","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I18489884","display_name":"Kunming Institute of Zoology","ror":"https://ror.org/03m0vk445","country_code":"CN","type":"facility","lineage":["https://openalex.org/I18489884","https://openalex.org/I19820366"]},{"id":"https://openalex.org/I19820366","display_name":"Chinese Academy of Sciences","ror":"https://ror.org/034t30j35","country_code":"CN","type":"government","lineage":["https://openalex.org/I19820366"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chengbo Long","raw_affiliation_strings":["3Key Laboratory of Bioactive Peptides of Yunnan Province/Key Laboratory of Animal Models and Human Disease Mechanisms of Chinese Academy of Sciences, Kunming Institute of Zoology, KIZ/CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"3Key Laboratory of Bioactive Peptides of Yunnan Province/Key Laboratory of Animal Models and Human Disease Mechanisms of Chinese Academy of Sciences, Kunming Institute of Zoology, KIZ/CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China;","institution_ids":["https://openalex.org/I18489884","https://openalex.org/I19820366"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030057236","display_name":"Mahmoud I. Shoulkamy","orcid":"https://orcid.org/0000-0002-4736-1212","observed_orcids":["https://orcid.org/0000-0002-4736-1212"]},"institutions":[{"id":"https://openalex.org/I180726961","display_name":"Shenzhen University","ror":"https://ror.org/01vy4gh70","country_code":"CN","type":"education","lineage":["https://openalex.org/I180726961"]},{"id":"https://openalex.org/I89466785","display_name":"Minia University","ror":"https://ror.org/02hcv4z63","country_code":"EG","type":"education","lineage":["https://openalex.org/I89466785"]}],"countries":["CN","EG"],"is_corresponding":false,"raw_author_name":"Mahmoud I. Shoulkamy","raw_affiliation_strings":["4Guangdong Key Laboratory of Genome Stability and Disease Prevention, Shenzhen University School of Medicine, Shenzhen, China;","5Zoology Department, Faculty of Science, Minia University, El-Minia, Egypt;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"4Guangdong Key Laboratory of Genome Stability and Disease Prevention, Shenzhen University School of Medicine, Shenzhen, China;","institution_ids":["https://openalex.org/I180726961"]},{"raw_affiliation_string":"5Zoology Department, Faculty of Science, Minia University, El-Minia, Egypt;","institution_ids":["https://openalex.org/I89466785"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029812885","display_name":"Tarek Mohamed Abd El\u2010Aziz","orcid":"https://orcid.org/0000-0002-3441-9673","observed_orcids":["https://orcid.org/0000-0002-3441-9673"]},"institutions":[{"id":"https://openalex.org/I165951966","display_name":"The University of Texas at San Antonio Health Science Center","ror":"https://ror.org/02f6dcw23","country_code":"US","type":"education","lineage":["https://openalex.org/I165951966","https://openalex.org/I45438204"]},{"id":"https://openalex.org/I89466785","display_name":"Minia University","ror":"https://ror.org/02hcv4z63","country_code":"EG","type":"education","lineage":["https://openalex.org/I89466785"]}],"countries":["EG","US"],"is_corresponding":true,"raw_author_name":"Tarek Mohamed Abd El-Aziz","raw_affiliation_strings":["5Zoology Department, Faculty of Science, Minia University, El-Minia, Egypt;","6Department of Cellular and Integrative Physiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"5Zoology Department, Faculty of Science, Minia University, El-Minia, Egypt;","institution_ids":["https://openalex.org/I89466785"]},{"raw_affiliation_string":"6Department of Cellular and Integrative Physiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas","institution_ids":["https://openalex.org/I165951966"]}]}],"institutions":[],"countries_distinct_count":4,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5029812885"],"corresponding_institution_ids":["https://openalex.org/I165951966","https://openalex.org/I89466785"],"apc_list":null,"apc_paid":null,"fwci":2.4566,"has_fulltext":false,"cited_by_count":21,"citation_normalized_percentile":{"value":0.87935386,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":92,"max":98},"biblio":{"volume":"104","issue":"5","first_page":"1870","last_page":"1876"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11353","display_name":"Venomous Animal Envenomation and Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11353","display_name":"Venomous Animal Envenomation and Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10332","display_name":"Amphibian and Reptile Biology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1105","display_name":"Ecology, Evolution, Behavior and Systematics"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11635","display_name":"Poisoning and overdose treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/macrovipera-lebetina-obtusa","display_name":"Macrovipera lebetina obtusa","score":0.9860000014305115},{"id":"https://openalex.org/keywords/snakebite","display_name":"snakebite","score":0.8790000081062317},{"id":"https://openalex.org/keywords/neglected-tropical-diseases","display_name":"neglected tropical diseases","score":0.6449999809265137},{"id":"https://openalex.org/keywords/fasciotomy","display_name":"fasciotomy","score":0.8220000267028809},{"id":"https://openalex.org/keywords/musculoskeletal-impairment","display_name":"musculoskeletal impairment","score":0.7089999914169312},{"id":"https://openalex.org/keywords/pediatric-snakebite","display_name":"pediatric snakebite","score":0.7329999804496765},{"id":"https://openalex.org/keywords/iran","display_name":"Iran","score":0.4490000009536743}],"concepts":[{"id":"https://openalex.org/C145600735","wikidata":"https://www.wikidata.org/wiki/Q3055418","display_name":"Envenomation","level":3,"score":0.8612352013587952},{"id":"https://openalex.org/C2780389661","wikidata":"https://www.wikidata.org/wiki/Q1528875","display_name":"VIPeR","level":3,"score":0.7546067237854004},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.709848165512085},{"id":"https://openalex.org/C117287731","wikidata":"https://www.wikidata.org/wiki/Q424427","display_name":"Antivenom","level":3,"score":0.6886471509933472},{"id":"https://openalex.org/C2779923671","wikidata":"https://www.wikidata.org/wiki/Q199602","display_name":"Itching","level":2,"score":0.6402400732040405},{"id":"https://openalex.org/C2780886150","wikidata":"https://www.wikidata.org/wiki/Q152234","display_name":"Edema","level":2,"score":0.5558729767799377},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.555342435836792},{"id":"https://openalex.org/C2779300339","wikidata":"https://www.wikidata.org/wiki/Q7617409","display_name":"Sting","level":2,"score":0.4775593876838684},{"id":"https://openalex.org/C2779231127","wikidata":"https://www.wikidata.org/wiki/Q163656","display_name":"Viperidae","level":3,"score":0.46674591302871704},{"id":"https://openalex.org/C2777522434","wikidata":"https://www.wikidata.org/wiki/Q1397866","display_name":"Fasciotomy","level":3,"score":0.46414318680763245},{"id":"https://openalex.org/C2780214079","wikidata":"https://www.wikidata.org/wiki/Q228537","display_name":"Forearm","level":2,"score":0.4258617162704468},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.3573489487171173},{"id":"https://openalex.org/C2779448229","wikidata":"https://www.wikidata.org/wiki/Q3386847","display_name":"Venom","level":2,"score":0.3236294984817505},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.15761664509773254},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.12088879942893982},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09717249870300293},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C146978453","wikidata":"https://www.wikidata.org/wiki/Q3798668","display_name":"Aerospace engineering","level":1,"score":0.0},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004487","descriptor_name":"Edema","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D004487","descriptor_name":"Edema","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D004487","descriptor_name":"Edema","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D004487","descriptor_name":"Edema","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006633","descriptor_name":"Histamine Antagonists","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007022","descriptor_name":"Hypotension","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D007022","descriptor_name":"Hypotension","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D007022","descriptor_name":"Hypotension","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D007022","descriptor_name":"Hypotension","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D007492","descriptor_name":"Iran","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009336","descriptor_name":"Necrosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D009336","descriptor_name":"Necrosis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D009336","descriptor_name":"Necrosis","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D009336","descriptor_name":"Necrosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D014757","descriptor_name":"Viper Venoms","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D014757","descriptor_name":"Viper Venoms","qualifier_ui":"Q000633","qualifier_name":"toxicity","is_major_topic":true},{"descriptor_ui":"D017336","descriptor_name":"Loratadine","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D017819","descriptor_name":"Viperidae","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.4269/ajtmh.20-1640","doi":"https://doi.org/10.4269/ajtmh.20-1640","is_oa":false,"landing_page_url":"https://doi.org/10.4269/ajtmh.20-1640","pdf_url":null,"source":{"id":"https://openalex.org/S100045985","display_name":"American Journal of Tropical Medicine and Hygiene","issn_l":"0002-9637","issn":["0002-9637","1476-1645"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315658","host_organization_name":"American Society of Tropical Medicine and Hygiene","host_organization_lineage":["https://openalex.org/P4310315658"],"host_organization_lineage_names":["American Society of Tropical Medicine and Hygiene"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Tropical Medicine and Hygiene","raw_type":"journal-article"},{"id":"pmid:33819174","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33819174","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of tropical medicine and hygiene","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:8103458","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8103458/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Am J Trop Med Hyg","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:8103458","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8103458/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Am J Trop Med Hyg","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4416113860","https://openalex.org/W2149819213","https://openalex.org/W2104367017","https://openalex.org/W4289972102","https://openalex.org/W4409196277","https://openalex.org/W7215081874","https://openalex.org/W7096889374","https://openalex.org/W4404932008","https://openalex.org/W2996475525","https://openalex.org/W3126786731"],"abstract_inverted_index":{"Envenomation":[0],"and":[1,16,46,54,119,133,140],"death":[2],"resulting":[3],"from":[4,31],"snakebites":[5],"represent":[6],"a":[7,25,86,89],"significant":[8],"public":[9],"health":[10,28],"problem":[11],"worldwide,":[12],"particularly":[13],"in":[14,95,151],"tropical":[15,27],"subtropical":[17],"regions.":[18],"The":[19,148],"WHO":[20],"has":[21],"defined":[22],"snakebite":[23],"as":[24],"neglected":[26],"concern.":[29],"Bites":[30],"Macrovipera":[32],"lebetina":[33],"obtusa":[34,69],"usually":[35],"cause":[36],"life-threatening":[37],"systemic":[38],"hemodynamic":[39],"disturbances,":[40],"reduced":[41],"functionality":[42],"of":[43,66,121,125,129],"the":[44,58,111,117,122,143,152],"kidneys,":[45],"other":[47],"serious":[48],"symptoms,":[49],"including":[50],"hypotension":[51],"shock,":[52],"edema,":[53],"tissue":[55],"necrosis,":[56],"at":[57],"bite":[59,144],"site.":[60],"Herein,":[61],"we":[62],"highlight":[63],"five":[64],"cases":[65,78],"M.":[67,101],"l.":[68,102],"envenomation":[70],"that":[71],"presented":[72],"with":[73,81],"wide-ranging":[74],"manifestations.":[75],"Many":[76],"recovered":[77],"were":[79,146],"left":[80],"long-term":[82],"musculoskeletal":[83],"disabilities.":[84],"In":[85],"particular":[87],"case,":[88],"15-year-old":[90],"male":[91],"patient":[92,149],"was":[93,114],"envenomed":[94],"his":[96],"palm":[97],"by":[98],"an":[99],"80-cm":[100],"obtusa.":[103],"Within":[104],"12":[105],"hours,":[106],"swelling":[107],"extended":[108],"to":[109],"near":[110],"shoulder.":[112],"Fasciotomy":[113],"performed":[115],"on":[116],"forearm":[118],"part":[120],"upper":[123],"arm":[124],"this":[126],"patient.":[127],"Symptoms":[128],"severe":[130],"localized":[131],"pain":[132],"swelling,":[134],"dizziness,":[135],"weakness,":[136],"low":[137],"blood":[138],"pressure,":[139],"itching":[141],"around":[142],"area":[145],"documented.":[147],"remained":[150],"hospital":[153],"for":[154],"13":[155],"days.":[156]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2021-04-13T00:00:00"}