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Cerebellar infarct with neurogenic pulmonary edema following viper bite.
MedLine Citation:
PMID:  22346200     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Russell's viper (Daboia russelli) bites are well known to cause bleeding complications. However, thrombotic complications are rare. We present the case details of a female who was bitten by a Russell's viper (Daboia russelli) in her village. She then developed features of envenomation in the form of hemorrhagic episodes. She received 27 vials of polyvalent anti-snake venom to which the hemorrhagic complications responded. After about 48 h of the bite she developed features of cerebellar infarct along with pulmonary edema which was in all probability neurogenic in origin. She was managed with mechanical ventilation and extra ventricular drainage with good recovery. We discuss the likely pathogenesis of the infarct and pulmonary edema occurring in a patient with viper bite and other features of envenomation.
Authors:
Salil Gupta; Ak Tewari; Velu Nair
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosciences in rural practice     Volume:  3     ISSN:  0976-3155     ISO Abbreviation:  J Neurosci Rural Pract     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-02-20     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101533710     Medline TA:  J Neurosci Rural Pract     Country:  India    
Other Details:
Languages:  eng     Pagination:  74-6     Citation Subset:  -    
Affiliation:
Department of Neurology, Armed Forces Medical College, Pune, India.
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