1921
Volume 68, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

We report the case of a 65-year-old woman who presented with severe neurologic complications after envenomation by a viper snake. A computed tomography (CT) scan revealed multiple brain hemorrhagic infarcts. Conservative treatment in this case proved to be sufficient and repetitive CT scans displayed a complete resolution of the radiologic findings. Possible mechanisms for the cerebral infarctions are discussed. The mechanism of infarctions in this case was believed to be the vasomotor and coagulation disorders caused by the toxins present in the snake’s venom and was one of the reasons that led to conservative treatment.

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/content/journals/10.4269/ajtmh.2003.68.253
2003-02-01
2017-11-22
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References

  1. World Health Organization, 2001. Bites and stings due to terrestrial and aquatic animals in Europe. Wkly Epidemiol Rec 76 : 290–298.
  2. Kerrigan KR, 1991. Venomous snakebite in eastern Equador. Am J Trop Med Hyg 44 : 93–99.
  3. Singh S, Dass A, Jain S, Varma S, Bannerjee AK, Sharma BK, 1998. Fatal non-bacterial thrombotic endocarditis following viperine bite. Intern Med 37 : 342–344.
  4. Murthy JMK, Kishore LT, Shanti Naidu K, 1997. Cerebral infraction after envenomation by viper. J Comput Assist Tomogr 21 : 35–37.
  5. Warrell DA, Ormerod LDL, McDavidson N, 1975. Bites by puffadder in Nigeria, and value of anti-venom. BMJ 4 : 696–704.
  6. Aravanis C, Ioannidis PJ, Ktenas J, 1982. Acute myocardial infraction and cerebrovascular accident in a young girl after a viper bite. Br Heart J 47 : 500–503.
  7. Tibballs J, Henning RD, Sutherland SK, Kerr AR, 1991. Fatal cerebral haemorrhage after tiger snake (Notechis scutatus) envenomation. Med J Aust 154 : 275–276.
  8. Ameratunga B, 1972. Middle cerebral occlusion following Russel’s viper bite. J Trop Med Hyg 76 : 95–97.
  9. Bashir R, Jinkins J, 1985. Cerebral infarction in a young female following snake bite. Stroke 16 : 328–330.
  10. Benerjee RN, 1978. Poisonous snakes of India, their venoms, symptomatology and treatment of envenomation. Ahuja MMS, ed. Progress in Cinical Medicine in India. New Delhi: Arnold-Heineman 136–180.
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  • Received : 22 Jul 2002
  • Accepted : 28 Oct 2002

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