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Recurrent Coagulopathy after Rattlesnake Bite Requiring Continuous Intravenous Dosing of Antivenom
Joint Authors
Hwang, Charles W.
Flach, Eike F.
Source
Case Reports in Emergency Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-12
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Context.
Snakebite envenomation is common and may result in systemic coagulopathy.
Antivenom can correct resulting laboratory abnormalities; however, despite antivenom use, coagulopathy may recur, persist, or result in death after a latency period.
Case Details.
A 50-year-old previously healthy man presented to the emergency department after a rattlesnake bite to his right upper extremity.
His presentation was complicated by significant glossal and oropharyngeal edema requiring emergent cricothyrotomy.
His clinical course rapidly improved with the administration of snake antivenom (FabAV); the oropharyngeal and upper extremity edema resolved within several days.
However, over the subsequent two weeks, he continued to have refractory coagulopathy requiring multiple units of antivenom.
The coagulopathy finally resolved after starting a continuous antivenom infusion.
Discussion.
Envenomation may result in latent venom release from soft tissue depots that can last for two weeks.
This case report illustrates the importance of close hemodynamic and laboratory monitoring after snakebites and describes the administration of continuous antivenom infusion, instead of multidose bolus, to neutralize latent venom release and correct residual coagulopathy.
American Psychological Association (APA)
Hwang, Charles W.& Flach, Eike F.. 2015. Recurrent Coagulopathy after Rattlesnake Bite Requiring Continuous Intravenous Dosing of Antivenom. Case Reports in Emergency Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058482
Modern Language Association (MLA)
Hwang, Charles W.& Flach, Eike F.. Recurrent Coagulopathy after Rattlesnake Bite Requiring Continuous Intravenous Dosing of Antivenom. Case Reports in Emergency Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1058482
American Medical Association (AMA)
Hwang, Charles W.& Flach, Eike F.. Recurrent Coagulopathy after Rattlesnake Bite Requiring Continuous Intravenous Dosing of Antivenom. Case Reports in Emergency Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058482
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058482