Severe systemic effects of Merrem's hump-nosed viper bite.

dc.contributor.authorKularatne, S Aen_US
dc.contributor.authorRatnatunga, Nen_US
dc.date.accessioned2009-05-28T05:55:43Z
dc.date.available2009-05-28T05:55:43Z
dc.date.issued1999-12-15en_US
dc.descriptionThe Ceylon Medical Journal.en_US
dc.description.abstractOBJECTIVE: To report unpredictable severe systemic effects of hump-nosed viper envenomation. SETTING: Medical unit, General hospital, Anuradhapura. METHODS: The clinical outcome of seven patients bitten by Merrem's hump-nosed viper were monitored until recovery or death. Limited autopsies were performed on the latter. Offending snakes were positively identified by medical officers and in one instance by a herpetologist. CONCLUSION: Merrem's hump-nosed viper bites, caused an array of potentially fatal systemic manifestations. One patient developed neurological effects, severe Raynaud's syndrome leading to ascending gangrene of distal limbs and adult repiratory distress syndrome (ARDS), in addition to the known complications of severe renal cortical necrosis and haemostatic dysfunction. Two patients who developed acute renal failure and prolonged coagulopathy recovered completely. The combination of extensive renal cortical necrosis, disseminated intravascular coagulation, and ARDS proved fatal in three.en_US
dc.description.affiliationGeneral Hospital, Anuradhapura.en_US
dc.identifier.citationKularatne SA, Ratnatunga N. Severe systemic effects of Merrem's hump-nosed viper bite. The Ceylon Medical Journal. 1999 Dec; 44(4): 169-70en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/49262
dc.language.isoengen_US
dc.source.urihttps://www.infolanka.com/CMJhome/en_US
dc.subject.meshAdulten_US
dc.subject.meshAnimalsen_US
dc.subject.meshAntivenins --pharmacologyen_US
dc.subject.meshDisseminated Intravascular Coagulation --etiologyen_US
dc.subject.meshFatal Outcomeen_US
dc.subject.meshHumansen_US
dc.subject.meshKidney Failure, Acute --etiologyen_US
dc.subject.meshPrognosisen_US
dc.subject.meshRaynaud Disease --etiologyen_US
dc.subject.meshRespiratory Distress Syndrome, Adult --etiologyen_US
dc.subject.meshSnake Bites --blooden_US
dc.subject.meshSurvival Analysisen_US
dc.subject.meshViperidaeen_US
dc.titleSevere systemic effects of Merrem's hump-nosed viper bite.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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