Afibrinogenemia Following Snake Bite (Crotalus Durissus Terrificus)

Carlos Faria Santos AmaralDepartment of Medicine, Federal University of Minas Gerais, Hospital das Clinicas, Intensive Care Unit, Belo Horizonte, Brazil

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Orlando Antônio da SilvaDepartment of Medicine, Federal University of Minas Gerais, Hospital das Clinicas, Intensive Care Unit, Belo Horizonte, Brazil

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Mario LópezDepartment of Medicine, Federal University of Minas Gerais, Hospital das Clinicas, Intensive Care Unit, Belo Horizonte, Brazil

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Enio Roberto Pietra PedrosoDepartment of Medicine, Federal University of Minas Gerais, Hospital das Clinicas, Intensive Care Unit, Belo Horizonte, Brazil

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Following the bite of Crotalus durissus terrificus, an 11-year-old boy developed afibrinogenemia and high output acute renal failure. His platelet count remained within normal limits. He was treated with epsilon aminocaproic acid and whole fresh blood transfusion, with full recovery from afibrinogenemia 40 hours after the beginning of these measures and 75 hours after the snake bite. No hemorrhagic disturbances were present. The acute renal failure was treated conservatively, and the patient recovered 12 days after the snake bite and was discharged from hospital with no sequelae.

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