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Shivanthan,Mitrakrishnan Chrishan; Yudhishdran,Jevon; Navinan,Rayno; Rajapakse,Senaka. |
Hump-nosed viper bites are common in the Indian subcontinent. In the past, hump-nosed vipers (Hypnalespecies) were considered moderately venomous snakes whose bites result mainly in local envenoming. However, a variety of severe local effects, hemostatic dysfunction, microangiopathic hemolysis, kidney injury and death have been reported following envenoming byHypnalespecies. We systematically reviewed the medical literature on the epidemiology, toxin profile, diagnosis, and clinical, laboratory and postmortem features of hump-nosed viper envenoming, and highlight the need for development of an effective antivenom. |
Tipo: Info:eu-repo/semantics/article |
Palavras-chave: Hypnale; Hump-nosed viper; Envenoming; Viper; Venom; Antivenom. |
Ano: 2014 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992014000200207 |
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Withana,Milinda; Rodrigo,Chaturaka; Gnanathasan,Ariaranee; Gooneratne,Lallindra. |
Hump-nosed viper bites are frequent in southern India and Sri Lanka. However, the published literature on this snakebite is limited and its venom composition is not well characterized. In this case, we report a patient with thrombotic thrombocytopenic purpura-like syndrome following envenoming which, to the best of our knowledge, has not been reported in the literature before. A 55-year-old woman from southern Sri Lanka presented to the local hospital 12 hours after a hump-nosed viper (Hypnale hypnale) bite. Five days later, she developed a syndrome that was characteristic of thrombotic thrombocytopenic purpura with fever, thrombocytopenia, microangiopathic hemolysis, renal impairment and neurological dysfunction in the form of confusion and coma. Her... |
Tipo: Info:eu-repo/semantics/report |
Palavras-chave: Thrombotic thrombocytopenic purpura; Hump-nosed viper; Thrombotic microangiopathy; Snakebite; Hemolytic uremic syndrome. |
Ano: 2014 |
URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992014000200504 |
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