{"pk":346,"title":"Remote South American Snakebite with Extensive Myonecrosis","subtitle":null,"abstract":"This report describes a patient envenomated by a\n Brothrops atrox,\n common fer-de-lance viper, in the remote rainforest of eastern Ecuador and without access to definitive care for 7 days. Antivenom was not administered; by the time of presentation to a hospital, he had suffered myonecrosis of his lower leg, which was treated with debridement and eventual skin graft. The ramifications of this long evacuation demonstrate the need for more accessible health services and educational outreach.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0fz9f091","frozenauthors":[{"first_name":"Russell","middle_name":"","last_name":"Means","name_suffix":"","institution":"University of Arizona","department":"None"},{"first_name":"Jannella","middle_name":"","last_name":"Cabrera","name_suffix":"","institution":"University of Cuenca","department":"None"},{"first_name":"Xavier","middle_name":"","last_name":"Moreno","name_suffix":"","institution":"Macas General Hospital","department":"None"},{"first_name":"Richard","middle_name":"","last_name":"Amini","name_suffix":"","institution":"University of Arizona","department":"None"}],"date_submitted":"2017-01-18T14:15:04-08:00","date_accepted":"2017-01-18T14:15:04-08:00","date_published":"2017-01-18T00:00:00-08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/346/galley/112/download/"}]}