Management of an Uncommon Snakebite Envenomation (Azemiops kharini)

Shuan-Zhu Guo The First Clinical Medical College of Guangdong Medical University, Zhanjiang, China;

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Shi-Ming Zhan The First Clinical Medical College of Guangdong Medical University, Zhanjiang, China;

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Shuo-Feng Zhuang The First Clinical Medical College of Guangdong Medical University, Zhanjiang, China;

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Jin Chen The First Clinical Medical College of Guangdong Medical University, Zhanjiang, China;

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Tian-Xing Li The First Clinical Medical College of Guangdong Medical University, Zhanjiang, China;
Yangjiang Hospital Affiliated to Guangdong Medical University, Yangjiang, China

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Envenomation and death resulting from snakebites represent a significant public health problem worldwide, posing a substantial threat to human lives. Azemiops kharini (white-headed Burmese viper) venom is a mixed toxin that usually causes swelling and pain, paresthesias, blood clotting disorders, cardiopulmonary arrest, and even multiple organ dysfunction syndrome. The patient exhibited symptoms of envenomation after an A. kharini snakebite, including decreased fibrinogen levels and finger stiffness. Management entailed the administration of a combination therapy consisting of multiple monovalent antivenoms along with Jidesheng snake pill. Finally, a favorable outcome was observed. We present a case of A. kharini snakebite envenomation managed at our medical facility for the benefit of fellow health care providers.

Author Notes

Disclosures: Ethics approval to publish a case report is not mandatory at our institution. However, we took all precautions to protect the patient’s rights by phone, and informed consent was obtained from the patient to publish clinical data and the photograph of the snake. The material is original and has not been published elsewhere.

Current contact information: Shuan-Zhu Guo, Shi-Ming Zhan, Shuo-Feng Zhuang, Jin Chen, and Tian-Xing Li, Yangjiang Hospital Affiliated to Guangdong Medical University, Yangjiang, Guangdong, China, E-mails: 15531411987@163.com, zhanshiming74@163.com, 13078218302@163.com, 15917068490@163.com, and li27538945@126.com.

Address correspondence to Tian-Xing Li, Yangjiang Hospital Affiliated to Guangdong Medical University, Yangjiang, Guangdong, China. E-mail: li27538945@126.com
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