Publications by authors named "Tamas Malina"

We report a severe envenoming associated with minimal local symptoms following a Balkan adder (Vipera berus bosniensis) bite in South-Western Hungary. A 63-year-old male with a history of hypertension and sinus bradycardia (45/min) was bitten by a sub-adult specimen of V. b.

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Article Synopsis
  • The study found significant variability in venom samples from European adders (Vipera berus berus) within a population in Eastern Hungary, with differences tied to age and gender.
  • Individual venom showed distinct protease activities and toxic effects, identified through techniques like one-dimensional electrophoresis and MALDI-TOF MS.
  • This research suggests the diverse venom profiles in this specific population may lead to varying clinical outcomes in cases of envenoming compared to other regions in Europe.
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We report a recent case of common adder (Vipera berus) envenoming causing paralytic signs and symptoms. A 12-year-old girl was bitten by the nominate subspecies of the common adder (V. berus berus) in eastern Hungary on May 2, 2012, 22 km away from where the first neurotoxic V.

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Article Synopsis
  • The study reviews the effects of bites from the Common adder (Vipera berus), noting that symptoms can vary based on geographic differences in venom.
  • It emphasizes the importance of correctly diagnosing snake bites and understanding the distribution of venomous snakes for effective treatment.
  • In Hungary, while snake bites are rare, the venom is potent, and medical observation is crucial in the first few hours after a bite to monitor for serious symptoms.
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Objective: The vipers in the Vipera (Acridophaga) ursinii complex are small-sized insectivorous snakes found in parts of central and southern Europe. Subspecies include Vipera ursinii ursinii, Vipera ursinii moldavica, Vipera ursinii macrops, Vipera ursinii rakosiensis, and Vipera ursinii graeca and are commonly known as the meadow vipers. These are the least known European Vipera from a clinical point of view.

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The first overall clinical description of envenomings by the lowland populations of the Balkan adder (Vipera berus bosniensis) is provided by this study. Fifty-four incidents have been collected retrospectively from the south-western Hungarian and the northern Croatian distribution area of the taxon. There were five (9%) asymptomatic, 24 (44%) mild, 12 (22%) moderate, 12 (22%) severe, and one fatal (2%) case according to the Poisoning Severity Score.

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A case of Rhinoceros viper (Bitis nasicornis) bite is reported. The bitten hand distended to the wrist, which was tense and painful, with only mild local livid discolouration manifested around the fang mark. Slight hypertension with moderate tachycardia and temporary coagulopathy were observed.

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Epidemiological and clinical aspects of snakebites in Hungary between 1970 and 2006 were surveyed. A total of 97 cases were recorded from 21 species, including the two native vipers, Vipera berus and Vipera ursinii, and various exotic species represented by Viperidae, Elapidae, and Colubridae. Bites by native species on laymen are uncommon (17 cases) and present trivial clinical manifestations.

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