Document Detail

Disseminated intravascular coagulation after cerastes vipera envenomation in a 3-year-old child: a case report.
MedLine Citation:
PMID:  10775758     Owner:  NLM     Status:  MEDLINE    
This study presents a case of severe disseminated intravascular coagulation (DIC) in a 3-year-old child following envenomation by the snake, Cerastes vipera. A literature search revealed very few similar cases. We describe a child who was bitten in his left foot by a snake identified as a C. vipera. Initial symptoms were relatively benign. Local signs included a hemorrhagic vesicle at the site of the bite with marked swelling of the entire leg. Twenty-four hours later, the child developed severe bleeding due to DIC, which lasted 5 days and required repeated administration of blood and blood products and total exchange transfusion. The patient was discharged from the hospital after 7 days in good condition. To the best of our knowledge, severe DIC following envenomation by a C. vipera has not been previously described in the literature. Treatment was essentially supportive. The case report indicates that a specific antivenin against this snake's venom should be made available in our area.
M Lifshitz; J Kapelushnik; M Ben-Harosh; S Sofer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Toxicon : official journal of the International Society on Toxinology     Volume:  38     ISSN:  0041-0101     ISO Abbreviation:  Toxicon     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-08-22     Completed Date:  2000-08-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1307333     Medline TA:  Toxicon     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1593-8     Citation Subset:  IM    
Toxicology Unit, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
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MeSH Terms
Child, Preschool
Disseminated Intravascular Coagulation / chemically induced*
Snake Bites*
Viper Venoms / toxicity*
Reg. No./Substance:
0/Viper Venoms

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