Neurotoxicity Associated With the Southern Pacific Rattlesnake (Crotalushelleri).


Journal

Annals of emergency medicine
ISSN: 1097-6760
Titre abrégé: Ann Emerg Med
Pays: United States
ID NLM: 8002646

Informations de publication

Date de publication:
03 2023
Historique:
received: 26 05 2022
revised: 27 07 2022
accepted: 08 08 2022
pubmed: 18 10 2022
medline: 25 2 2023
entrez: 17 10 2022
Statut: ppublish

Résumé

The Southern Pacific rattlesnake (Crotalus helleri) is commonly encountered throughout Southern California. Typical toxicity includes tissue injury and hematologic toxicity. However, neurotoxicity is not commonly reported with rattlesnake envenomations, other than infrequently with select species, including the Mojave rattlesnake (Crotalus scutulatus scutulatus). Importantly, clinical neurotoxicity has not been well described with the Southern Pacific rattlesnake, the only rattlesnake in the city of Los Angeles, along with the Southern and coastal regions of Los Angeles County. In this case series, 7 patients envenomated by the Southern Pacific rattlesnake with significant neurotoxicity, including dysarthria, ataxia, and myokymia, are presented. Clinicians practicing in this region should be aware of evolving patterns of toxicity associated with the Southern Pacific rattlesnake.

Identifiants

pubmed: 36253294
pii: S0196-0644(22)00593-5
doi: 10.1016/j.annemergmed.2022.08.020
pii:
doi:

Substances chimiques

Crotalid Venoms 0

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

318-322

Informations de copyright

Copyright © 2022 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

Auteurs

Michael Levine (M)

Department of Emergency Medicine, University of California, Los Angeles, Los Angeles, CA. Electronic address: michaellevine@mednet.ucla.edu.

David Tashman (D)

Department of Emergency Medicine, USC-Verdugo Hills Hospital, University of Southern California, Los Angeles, CA.

Ian Recchio (I)

Los Angeles Zoo and Botanical Gardens, Los Angeles, CA.

Nathan Friedman (N)

Division of Medical Toxicology, Department of Emergency Medicine, University of California, San Diego, San Diego, CA.

Justin Seltzer (J)

Division of Medical Toxicology, Department of Emergency Medicine, University of California, San Diego, San Diego, CA.

Alicia Minns (A)

Division of Medical Toxicology, Department of Emergency Medicine, University of California, San Diego, San Diego, CA.

Frank LoVecchio (F)

College of Health Solutions, Arizona State University, Phoenix, AZ.

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Classifications MeSH