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. 2020 Sep 18;26:e20200043. doi: 10.1590/1678-9199-JVATITD-2020-0043

Table 2. Surgical outcome or wound bacteriology in eight envenomed patients.

Case number Body part bitten Clinical manifestations Intravenous antibiotic administered before surgery Type of surgery Time after bite to surgery in days Hospital stay in days Outcome Bacterial culture
Case 1 Finger Swelling and pain, ecchymosis, lymphadenitis/lymphangitis, bullae/blister, fever, wound necrosis, wound infection Cefazolin and metronidazole Debridement < 5 cm 7 11.9 Recovery Wound swab and blood culture: both negative
Case 2 Finger Swelling and pain, wound necrosis, wound infection Ceftriaxone and clindamycin Debridement < 5 cm 7 10 Recovery Wound swab after debridement: Pseudomonas aeruginosa
Case 3 Finger Swelling and pain, ecchymosis, bullae/blister, wound necrosis, wound infection Amoxicillin/clavulanic acid Debridement 5-10 cm 11 7.6 Recovery Wound swab after debridement: Enterobacter cloacae
Case 4 Finger Swelling and pain, bullae/blister, wound necrosis, wound infection Amoxicillin/clavulanic acid Debridement < 5 cm Debridement < 5 cm Debridement < 5 cm Full-thickness skin graft 3 13 21 24 5.9 Recovery Wound swab after first debridement: Morganella morganii
Case 5 Finger Swelling and pain, ecchymosis, bullae/blister, local numbness, wound necrosis, wound infection Oxacillin Debridement < 5 cm 6 8.8 Recovery Bullae fluid: Staphyloccocus hominis
Case 6 Forearm Swelling and pain, ecchymosis, local numbness, suspected ACSa Cefazolin and gentamicin Fasciotomy Debridement > 10 cm and split-thickness skin graft Revision of scar 0.33 5 59 11.8 Recovery Not performed
Case 7 Finger Swelling and pain, wound infection No antibiotic Not performed - 8.1 Recovery Joint fluid: Citrobacter freundii
Case 8 Finger Swelling and pain, local numbness, lymphadenitis/lymphangitis, bullae/blister, wound necrosis, wound infection Cefazolin and metronidazole Not performed - 3 Recovery Wound swab: Staphylococcus aureus, Enterobacter cloacae; Veillonella sp. (anaerobic)
a

Acute compartment syndrome.