TY - JOUR ID - 13828 TI - Bite by the Sheltopusik (Pseudopus apodus), Locally Called Petilus Snake, to Humans: A Case Report JO - Asia Pacific Journal of Medical Toxicology JA - APJMT LA - en SN - 2322-2611 AU - Bazi, Aliyeh AU - Ghasempouri, Seyed Khosro AU - Sahebnasagh, Adeleh AU - Saghafi, Fatemeh AD - Student Research Committee, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran AD - Assistant Professor, Department of Clinical Toxicology, Faculty of Medicine and Ghaemshahr Razi clinical toxicology Research Center, Mazandaran University of Medical Sciences, Sari, Iran AD - Board certified Clinical Pharmacist, School of Medicine, Imam Ali Hospital, North Khorasan University of Medical Sciences Bojnurd, Iran AD - Assistant professor of Pharmacotherapy, Department of Clinical Pharmacy, Faculty of Pharmacy and Pharmaceutical Sciences Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Y1 - 2019 PY - 2019 VL - 8 IS - 3 SP - 104 EP - 106 KW - Iran KW - Sheltopusik KW - Snakebite KW - Petilus DO - 10.22038/apjmt.2019.13828 N2 - Background: The vast territory of Iran, due to climate diversity, is a host for various animal species. Snakes may be considered a significant threat to health of the rural regions of Iran. Sheltopusik (Pseudopus apodus), the largest member of the family Anguida, is one of the species of lizard that is considered to be a harmless animal species. This lizard is often mistaken for a faunistic community of reptiles in the area and is well-known as Petilus Snake. To the best of our knowledge, no reports of injury from bites or attacks of this species have previously been published.Case presentation: The present case report is the first report of describing the attack of a sheltopusik to a 40-year-old white female farmer. Due to the lack of primary identification of the damaging animal, it was initially confused with the snakebite, leading to unnecessary administration of anti-venom and tetanus prophylaxis.Discussion: The main reason for this event was the lack of reporting a similar medical harm in the area and the snake-like appearance of the lizard. Acquaintance with this kind of damage to the human health and tissue contusion by the hit can help rational management of such patients without conventional modalities for snakebite like antivenom.Conclusion: The physicians practicing in emergency wards and rural clinics in the area, as the first place of referral, should be trained on proper management of this group of patients to achieve the best clinical outcome. UR - https://apjmt.mums.ac.ir/article_13828.html L1 - https://apjmt.mums.ac.ir/article_13828_693b1b80d47faa8256e450aaede0bd45.pdf ER -