| A 60-year-old male with bloody diarrhea and altered mental status secondary to a suspected intravascular crotalid envenomation. | |
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MedLine Citation:
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PMID: 21049708 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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B Burns; W Banner; E Roper |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2010-11-05 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503043 Medline TA: J Okla State Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 370-2 Citation Subset: IM |
Affiliation:
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Oklahoma School of Community Medicine, Department of Emergency Medicine, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Antivenins / therapeutic use* Confusion / etiology* Diarrhea / etiology* Gastrointestinal Hemorrhage / etiology* Humans Hypotension / etiology* Male Middle Aged Multiple Organ Failure / etiology* Snake Bites / complications*, drug therapy* Viperidae |
| Chemical | |
Reg. No./Substance:
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0/Antivenins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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