Envenenamento por Bothrops jararacussu: aspectos anatomopatológicos em músculo esquelético

Abstract

Snakebites are an important Public Health issue, so much so that they are classified as Neglected Tropical Diseases (NTDs) in category A, by the World Health Organization (WHO). The biggest victims are young people, mainly rural workers, who often, due to temporary or even permanent disability, end up affecting not only their family, but their entire community. Annually in Brazil, 90% of reported cases are caused by the Bothrops genus. Bothrops jararacussu is probably one of the most fearsome and imposing of this genus. Its bite is painful, and the main local effect is myonecrosis, which can result in deficient muscle regeneration. Its venom is mainly composed of phospholipases A2, which is why it has an important myotoxic effect. These phospholipases are myotoxic components that directly destabilize the plasma membrane of muscle cells, causing the influx of calcium ions and so hypercontraction and the early appearance of cells with delta lesions. Understanding the pathogenesis of poisoning is of fundamental importance for studies of better therapies.