Document Detail

A 60-year-old male with bloody diarrhea and altered mental status secondary to a suspected intravascular crotalid envenomation.
MedLine Citation:
PMID:  21049708     Owner:  NLM     Status:  MEDLINE    
We present the case of a 60-year-old male who presented to our emergency department approximately 2 hours after a suspected intravascular pit viper envenomation to the area of the left ankle. By his arrival to our facility he was profoundly confused and hypotensive with bloody diarrhea, coagulopathy and multi-organ dysfunction including renal insufficiency, non-ST elevation myocardial infarction, lactic acidosis and hemoconcentration. His only cutaneous sign of envenomation was a small (1-2 cm) area of ecchymosis adjacent to the Achilles tendon on the lateral aspect of the ankle. He was given aggressive crystalloid resuscitation for circulatory support and received 20 vials of Cro-fab (10 vials 2 hours apart) and 2 units of FFP in the Emergency Department. The patient ultimately had resolution of his coagulopathy and was discharged on hospital day five with no long term sequela.
B Burns; W Banner; E Roper
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the Oklahoma State Medical Association     Volume:  103     ISSN:  0030-1876     ISO Abbreviation:  J Okla State Med Assoc     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-11-05     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503043     Medline TA:  J Okla State Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  370-2     Citation Subset:  IM    
Oklahoma School of Community Medicine, Department of Emergency Medicine, USA.
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MeSH Terms
Antivenins / therapeutic use*
Confusion / etiology*
Diarrhea / etiology*
Gastrointestinal Hemorrhage / etiology*
Hypotension / etiology*
Middle Aged
Multiple Organ Failure / etiology*
Snake Bites / complications*,  drug therapy*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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