Retrospective Documentation of a Confirmed White-Lipped Green Pit Viper (Trimeresurus albolabris Gray, 1842) Bite in the South-Central Hills of Nepal.
antivenom
coagulopathy
envenomation
hemotoxicity
snakebite
venom-induced consumption coagulopathy
Journal
Wilderness & environmental medicine
ISSN: 1545-1534
Titre abrégé: Wilderness Environ Med
Pays: United States
ID NLM: 9505185
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
09
05
2018
revised:
29
10
2018
accepted:
02
11
2018
pubmed:
10
2
2019
medline:
21
3
2019
entrez:
10
2
2019
Statut:
ppublish
Résumé
This case report documents envenomation by an arboreal white-lipped green pit viper (Trimeresurus albolabris), a species found in South and Southeast Asia that causes the majority of venomous snakebites among Southeast Asian pit vipers. Clinical features vary from asymptomatic to serious coagulopathy that may progress into life-threatening or fatal hemorrhage. The proven life-threatening cases described in published literature, however, are sparse. Practically, no specific antivenom targeted to pit viper bites is available in Nepal. We report a case (managed with several non-evidence-based interventions) of noticeable coagulopathic envenomation due to confirmed T albolabris bite in Nepal. This is the first known reported case of such a bite in Nepal. This case highlights the urgent need to improve diagnosis, monitoring, and supportive care for bite victims and to study the effectiveness of Thai pit viper antivenoms for the treatment of T albolabris envenomations.
Identifiants
pubmed: 30737155
pii: S1080-6032(18)30205-9
doi: 10.1016/j.wem.2018.11.001
pii:
doi:
Substances chimiques
Viper Venoms
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
79-85Informations de copyright
Copyright © 2018 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.