Snakebite on the hand : lessons from two clinical cases illustrating difficulties of surgical indication Gras S. auteur aut IRD Plantefeve G. auteur aut IRD Baud F. auteur aut IRD Chippaux Jean-Philippe auteur aut IRD text journalArticle eng text/pdf born digital access Snakebite is a particularly important health problem in rural areas of tropical regions. A large number of victims survive with permanent physical sequelae due to local tissue necrosis. However, necrosis may be associated with compartment syndrome especially when the bite is on the hands or feet. Herein, we describe two cases reported at a rural district hospital in Central African Republic. The present study suggests that active multidisciplinary management may improve patient prognosis while evidencing how difficult it is to decide on surgical intervention. specialized snakebite Africa compartment syndrome surgery AFRIQUE 050 080 Journal of Venomous Animals and Toxins Including Tropical Diseases 18 4 467-477 2012 1678-9199 https://www.documentation.ird.fr/hor/fdi:010064614 10.1590/S1678-91992012000400019 1678-9199 [F B010064614] https://www.documentation.ird.fr/hor/fdi:010064614 https://www.documentation.ird.fr/intranet/publi/2015/00/010064614.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2015-07-07 2020-10-13 fdi:010064614 fre