<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512021000300035</article-id>
<article-id pub-id-type="doi">10.25748/arp.25353</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Imaging Features of Bothropic Accident]]></article-title>
<article-title xml:lang="pt"><![CDATA[Achados de Imagem de Acidente Botrópico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Artur Ramos Sarmet dos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morais]]></surname>
<given-names><![CDATA[Rafaela Queiroz de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fontes]]></surname>
<given-names><![CDATA[Cristina Asvolinsque Pantaleão]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corrêa]]></surname>
<given-names><![CDATA[Diogo Goulart]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Federal Fluminense University Department of Radiology ]]></institution>
<addr-line><![CDATA[Niterói ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>33</volume>
<numero>3</numero>
<fpage>35</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512021000300035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512021000300035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512021000300035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Snakebite envenoming is a neglected public health issue, which is potentially life-threatening, caused by toxins present in the bite of a venomous snake. Bothropic venom has important physiopathological effects, with local lesions and proteolytic action, as well as coagulation cascade activation, consumption of fibrinogen, leading to hemorrhagic events. In this article, we present the case of a 61-year-old man who was bitten by a snake on his left thigh, and evoluted with hypotension, lethargy, nausea, and vomiting. Computed tomography of the brain, chest, abdomen, and pelvis demonstrated intracerebral hemorrhage in the left frontal lobe, bilateral subarachnoid hemorrhage, moderate left hemothorax and soft tissue edema at the site of the snakebites on the left thigh. Despite adequate treatment, the patient died on the fourth day of hospitalization. It is important that the emergency radiologist correctly recognize the imaging findings and the ophidian accident as the cause of the hemorrhagic manifestations.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A mordedura de cobra é uma questão de saúde pública negligenciada, potencialmente fatal, causada por toxinas presentes no venoso da cobra. O veneno botrópico tem importantes efeitos fisiopatológicos, com lesões locais e ação proteolítica, bem como ativação da cascata da coagulação, consumo de fibrinogénio, levando a eventos hemorrágicos. Neste artigo, apresentamos o caso de um homem de 61 anos que foi mordido por uma cobra na coxa esquerda, e evoluiu com hipotensão, letargia, náuseas e vómitos. A tomografia computorizada do crânio, tórax, abdome e pelve demonstrou hemorragia intracerebral no lobo frontal esquerdo, hemorragia subaracnóidea bilateral, hemotórax esquerdo moderado e edema nas partes moles, no local das mordeduras da cobra na coxa esquerda. Apesar do tratamento adequado, o paciente morreu no quarto dia de hospitalização. É importante que o radiologista da emergência reconheça corretamente os achados das imagens e o acidente ofídico como causa das manifestações hemorrágicas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Bothropic accident]]></kwd>
<kwd lng="en"><![CDATA[Computed tomography]]></kwd>
<kwd lng="en"><![CDATA[Intracranial hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Hemothorax.]]></kwd>
<kwd lng="pt"><![CDATA[Acidente botrópico]]></kwd>
<kwd lng="pt"><![CDATA[Tomografia computadorizada]]></kwd>
<kwd lng="pt"><![CDATA[Hemorragia intracraniana]]></kwd>
<kwd lng="pt"><![CDATA[Hemotórax.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Agarwal]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Aggarwal]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
<name>
<surname><![CDATA[Gupta]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Elapid snakebite as a cause of severe hypertension.]]></article-title>
<source><![CDATA[J Emerg Med.]]></source>
<year>2006</year>
<volume>30</volume>
<page-range>19-320</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[da Silva Souza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[de Almeida Gonçalves Sachett]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alcântara]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Snakebites as cause of deaths in the Western Brazilian Amazon: why and who dies? Deaths from snakebites in the Amazon.]]></article-title>
<source><![CDATA[Toxicon]]></source>
<year>2018</year>
<volume>145</volume>
<page-range>15-24</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Burdmann]]></surname>
<given-names><![CDATA[EA.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fatal cerebral hemorrhage and acute renal failure after young Bothrops jararacussu snake bite.]]></article-title>
<source><![CDATA[Ren Fail.]]></source>
<year>2001</year>
<volume>23</volume>
<page-range>269-77</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hatakeyama]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Tasima]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Bravo-Tobar]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Venom complexity of bothrops atrox (common lancehead) siblings.]]></article-title>
<source><![CDATA[J Venom Anim Toxins Incl Trop Dis.]]></source>
<year>2020</year>
<volume>26</volume>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tinoco]]></surname>
<given-names><![CDATA[HB]]></given-names>
</name>
<name>
<surname><![CDATA[Norberg]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
<name>
<surname><![CDATA[Pile]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[CRP]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra- Sanches]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Snake envenomations in northwest counties of the Rio de Janeiro State, Brazil.]]></article-title>
<source><![CDATA[J Venom Anim Toxins Incl Trop Dis.]]></source>
<year>2005</year>
<volume>11</volume>
<page-range>34-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Longbottom]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Shearer]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Devine]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vulnerability to snakebite envenoming: a global mapping of hotspots.]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2018</year>
<volume>392</volume>
<page-range>673-84</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hatakeyama]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Jorge Tasima]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[da Costa Galizio]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[From birth to adulthood: an analysis of the Brazilian lancehead (bothrops moojeni) venom at different life stages.]]></article-title>
<source><![CDATA[PLoS One.]]></source>
<year>2021</year>
<volume>16</volume>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
