<?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>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902018000400154</article-id>
<article-id pub-id-type="doi">10.29193/rmu.34.4.9</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mordedura por víbora de coral (Micrurus altirostris): primer caso en Uruguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Coral snake bite (Micrurus altirostris): first case in Uruguay]]></article-title>
<article-title xml:lang="pt"><![CDATA[Picadas por cobra coral (Micrurus altirostris): primeiro caso no Uruguai]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Juanena]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saldun]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zelada]]></surname>
<given-names><![CDATA[Banny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Negrin]]></surname>
<given-names><![CDATA[Alba]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paciel]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carreira]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas, Facultad de Medicina Departamento de Toxicología]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ASSE Hospital de Florida &#8220;Dr. Raúl Amorin Cal&#8221; ]]></institution>
<addr-line><![CDATA[Florida ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas, Facultad de Medicina Departamento de Toxicología]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Cátedra de Enfermedades Infecciosas]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad de la República Instituto de Ecología y Ciencias Ambientales, Facultad de Ciencias Laboratorio de Sistemática e Historia Natural de Vertebrados]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>4</numero>
<fpage>154</fpage>
<lpage>167</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902018000400154&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902018000400154&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902018000400154&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Las mordeduras por ofidios del género Micrurus son infrecuentes a nivel mundial. En Uruguay los emponzoñamientos son exclusivamente por Bothrops alternatus y B. pubescens (crucera y yarará). Desde 1986 la notificación de casos de ofidismo es obligatoria ante el Centro de Información y Asesoramiento Toxicológico (CIAT), no habiéndose registrado casos por mordedura de Micrurus altirostris hasta este reporte clínico. Se presenta el primer caso clínico de mordedura por víbora de coral (Micrurus altirostris) en nuestro país, destacándose la gravedad del mismo dada la neurotoxicidad que presentó evolucionando a parálisis respiratoria que requirió ventilación mecánica invasiva. Buena evolución con el sostén de funciones vitales implementado, no requiriendo neostigmina, logrando extubación y reversión completa del cuadro al cuarto día. El antídoto de este emponzoñamiento (suero antielapídico) presenta limitada disponibilidad a nivel mundial, no contando con el mismo en nuestro país, por lo que en casos graves, particularmente con falla respiratoria, la asistencia ventilatoria mecánica es el principal pilar terapéutico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Micrurus snakebites are rather unusual globally. In Uruguay, poisoning cases are exclusively caused by Bothrops alternatus and B. pubescens (&#8220;crucera&#8221; and &#8220;yarará&#8221; - crossed pit viper). Reporting poisoning to the Poison Information and Advice Service is mandatory since 1986, there being no cases reported of Micrurus altirostris bites until this clinical report. This study presents the first clinical case of coral snake bite (Micrurus altirostris) in our country, emphasizing its severity given the neurotoxicity that evolved into respiratory paralysis requiring invasive mechanical ventilation. Life support implemented resulted in a good evolution, no neostigmine being required, extubation and complete reversal of the clinical symptoms being achieved after four days. Availability of the poisoning antidote (antielapidic serum) is limited around the world, and it cannot be found in our country. Thus, in severe cases, in particular with respiratory failure, mechanical ventilation is the main therapeutic pillar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: As picadas por ofídios do género Micrurus são pouco frequentes em todo o mundo. No Uruguai os envenenamentos são exclusivamente por Bothrops alternatus e B. pubescens (&#8220;urutu ou cruzeiro&#8221; e &#8220;jararaca pintada&#8221;). Desde 1986 a notificação de casos de ofidismo ao Centro de Información y Asesoramiento Toxicológico (CIAT) é obrigatória, não havendo registros por picada de Micrurus altirostris até o momento da descrição deste caso clínico. Apresenta-se o primeiro caso clínico de picada por cobra coral (Micrurus altirostris) no país, destacando-se a gravidade do mesmo devida à neurotoxicidade que apresentou e que evoluiu a paralisia respiratória sendo necessária realizar ventilação mecânica invasiva. A evolução foi boa com as medidas de suporte vital implementadas, não sendo necessária a utilização de neostigmina, com extubação e reversão completa do quadro no quarto dia. A disponibilidade do antídoto para este tipo de envenenamento (soro antielapídico) é limitada em todo o mundo não estando disponível no país por isso, especialmente nos casos graves com insuficiência respiratória, a ventilação mecânica é o principal pilar terapêutico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mordeduras de serpientes]]></kwd>
<kwd lng="es"><![CDATA[Serpientes de coral]]></kwd>
<kwd lng="es"><![CDATA[Respiración artificial]]></kwd>
<kwd lng="es"><![CDATA[Suero antielapídico]]></kwd>
<kwd lng="en"><![CDATA[Snake bites]]></kwd>
<kwd lng="en"><![CDATA[Coral snakes]]></kwd>
<kwd lng="en"><![CDATA[Artificial respiration]]></kwd>
<kwd lng="en"><![CDATA[Antielapidic serum]]></kwd>
<kwd lng="pt"><![CDATA[Mordeduras de serpentes]]></kwd>
<kwd lng="pt"><![CDATA[Cobras corais]]></kwd>
<kwd lng="pt"><![CDATA[Respiração artificial]]></kwd>
<kwd lng="pt"><![CDATA[Soro antielapidico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chippaux]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence and mortality due to snakebite in the Americas]]></article-title>
<source><![CDATA[PLoS Negl Trop Dis]]></source>
<year>2017</year>
<volume>11</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bucaretchi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Capitani]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Vieira]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Zannin]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Da Silva]]></surname>
<given-names><![CDATA[NJr]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coral snake bites (Micrurus spp ) in Brazil: a review of literature reports]]></article-title>
<source><![CDATA[Clin Toxicol (Phila)]]></source>
<year>2016</year>
<volume>54</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>222-34</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Uruguay. Ministerio de Salud</collab>
<source><![CDATA[Ofidismo]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[MSP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Negrin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rosenberg]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Tortorella]]></surname>
<given-names><![CDATA[MN]]></given-names>
</name>
</person-group>
<source><![CDATA[Mordeduras de ofidios en intoxicaciones: casuísticas del Centro de Información y Asesoramiento Toxicológico]]></source>
<year>2011</year>
<page-range>59-64</page-range><publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[UCUR]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carreira]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Negrin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tortorella]]></surname>
<given-names><![CDATA[MN]]></given-names>
</name>
<name>
<surname><![CDATA[Pino]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Menéndez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Ofidismo en Uruguay: especies peligrosas y características del accidente ofídico]]></source>
<year>2006</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[CID/CEUR]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Purstcher]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Burger]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Savio]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Juanico]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Vila]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ofidismo y aracnidismo en el Uruguay diagnóstico, complicaciones y tratamiento]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>1983</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-28</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carreira]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Meneghel]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Achaval]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Reptiles de Uruguay]]></source>
<year>2005</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[DI.R.A.C]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pizon]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rhua]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Antidotes in depth Antivenom: snakes Native (US) Venoms (Crotaline and Elapid)]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Hoffman]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Howland]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Lewin]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Goldfrank]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
</person-group>
<source><![CDATA[Goldfrank´s toxicologic emergencies]]></source>
<year>2015</year>
<edition>10 ed</edition>
<page-range>1547-51</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[McGraw-Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rhua]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pizon]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Native (US) venomous snakes and lizards]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Hoffman]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Howland]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Lewin]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Goldfrank]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
</person-group>
<source><![CDATA[Goldfrank´s Toxicologic Emergencies]]></source>
<year>2015</year>
<edition>10 ed</edition>
<page-range>1537-46</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[McGraw-Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pardal]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Pardal]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gadelha]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Feitosa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Prudente]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Envenomation by Micrurus coral snakes in the brazilian amazon region report of two case]]></article-title>
<source><![CDATA[Rev Inst Med Trop Sao Paulo]]></source>
<year>2010</year>
<volume>52</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>333-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wood]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Schauben]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Thundiyil]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kunisaki]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Sollee]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis-Younger]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Review of Eastern coral snake (Micrurus fulvius fulvius) exposures managed by the Florida Poison Information Center Network 1998-2010]]></article-title>
<source><![CDATA[Clin Toxicol (Phila)]]></source>
<year>2013</year>
<volume>51</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>783-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sasaki]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Khalil]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Chegondi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Raszynski]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Totapally]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coral snake bites and envenomation in children a case series]]></article-title>
<source><![CDATA[Pediatr Emerg Care]]></source>
<year>2014</year>
<volume>30</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>262-5</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gold]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Dart]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Barish]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bites of venomous snakes]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2002</year>
<volume>347</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>347-56</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[de Abreu]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Leite]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hyslop]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Furtado]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Simioni]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neurotoxicity of Micrurus altirostris (Uruguayan coral snake) venom and its neutralization by commercial coral snake antivenom and specific antiserum raised in rabbits]]></article-title>
<source><![CDATA[Clin Toxicol (Phila)]]></source>
<year>2008</year>
<volume>46</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>519-27</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Manock]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Suarez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Graham]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Avila-Aguero]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Warrell]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neurotoxic envenoming by South American coral snake (Micrurus lemniscatus helleri) case report from eastern Ecuador and review]]></article-title>
<source><![CDATA[Trans R Soc Trop Med Hyg]]></source>
<year>2008</year>
<volume>102</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1127-32</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tanaka]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Micrurus snake species Venom immunogenicity, antiserum cross-reactivity and neutralization potential]]></article-title>
<collab>Sant'Anna O.Marcelino J.Lustoza da Luz A.Teixeira da Rocha M.Tambourgi D</collab>
<source><![CDATA[Toxicon]]></source>
<year>2016</year>
<volume>117</volume>
<page-range>59-68</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vital Brazil]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Vieira]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neostigmine in the treatment of snake accidents caused by Micrurus frontalis report of two cases (1)]]></article-title>
<source><![CDATA[Rev Inst Med Trop Sao Paulo]]></source>
<year>1996</year>
<volume>38</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>61-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
