@article{fdi:010080456,
  title = {{S}evere {H}eloderma spp. envenomation : a review of the literature},
  author = {{C}hippaux, {J}ean-{P}hilippe and {A}mri, {K}.},
  editor = {},
  language = {{ENG}},
  abstract = {{C}ontext: {H}eloderma bites are rare and generally mild, but a few cases can be life threatening. {M}ethods: {D}escription of {H}eloderma bite was searched in medical literature. {D}iscussion: {W}e present a synthesis of clinical and biomedical effects of envenomation by {H}eloderma sp. based on 22 well identified cases described in medical literature. {T}hree life-threatening syndromes, concomitant or not, may be involved: (a) angioedema which can lead to respiratory tract obstruction, (b) significant fluid losses due to diarrhea, vomiting and sweating, associated with hypokalemia and sometimes metabolic acidosis, and (c) atrioventricular conduction disorders simulating cardiac ischemia. {C}onclusion: {H}eloderma bite are quite rare and generally mild. {H}owever, few severe cases may require emergency resuscitation. {T}here is no antivenom, and the treatment is only symptomatic and supportive.},
  keywords = {{V}enomous lizard ; envenomation ; {H}eloderma suspectum ; management ; {ETATS} {UNIS} ; {MEXIQUE} ; {GUATEMALA}},
  booktitle = {},
  journal = {{C}linical {T}oxicology},
  volume = {59},
  numero = {3},
  pages = {179--184},
  ISSN = {1556-3650},
  year = {2021},
  DOI = {10.1080/15563650.2020.1853145},
  URL = {https://www.documentation.ird.fr/hor/fdi:010080456},
}