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Cerebellar infarct with neurogenic pulmonary edema following viper bite
Russell's viper (Daboia russelli) bites are well known to cause bleeding complications. However, thrombotic complications are rare. We present the case details of a female who was bitten by a Russell's viper (Daboia russelli) in her village. She then developed features of envenomation in t...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2012
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271624/ https://www.ncbi.nlm.nih.gov/pubmed/22346200 http://dx.doi.org/10.4103/0976-3147.91954 |
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author | Gupta, Salil Tewari, AK Nair, Velu |
author_facet | Gupta, Salil Tewari, AK Nair, Velu |
author_sort | Gupta, Salil |
collection | PubMed |
description | Russell's viper (Daboia russelli) bites are well known to cause bleeding complications. However, thrombotic complications are rare. We present the case details of a female who was bitten by a Russell's viper (Daboia russelli) in her village. She then developed features of envenomation in the form of hemorrhagic episodes. She received 27 vials of polyvalent anti-snake venom to which the hemorrhagic complications responded. After about 48 h of the bite she developed features of cerebellar infarct along with pulmonary edema which was in all probability neurogenic in origin. She was managed with mechanical ventilation and extra ventricular drainage with good recovery. We discuss the likely pathogenesis of the infarct and pulmonary edema occurring in a patient with viper bite and other features of envenomation. |
format | Online Article Text |
id | pubmed-3271624 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-32716242012-02-15 Cerebellar infarct with neurogenic pulmonary edema following viper bite Gupta, Salil Tewari, AK Nair, Velu J Neurosci Rural Pract Case Report Russell's viper (Daboia russelli) bites are well known to cause bleeding complications. However, thrombotic complications are rare. We present the case details of a female who was bitten by a Russell's viper (Daboia russelli) in her village. She then developed features of envenomation in the form of hemorrhagic episodes. She received 27 vials of polyvalent anti-snake venom to which the hemorrhagic complications responded. After about 48 h of the bite she developed features of cerebellar infarct along with pulmonary edema which was in all probability neurogenic in origin. She was managed with mechanical ventilation and extra ventricular drainage with good recovery. We discuss the likely pathogenesis of the infarct and pulmonary edema occurring in a patient with viper bite and other features of envenomation. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3271624/ /pubmed/22346200 http://dx.doi.org/10.4103/0976-3147.91954 Text en Copyright: © Journal of Neurosciences in Rural Practice http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Gupta, Salil Tewari, AK Nair, Velu Cerebellar infarct with neurogenic pulmonary edema following viper bite |
title | Cerebellar infarct with neurogenic pulmonary edema following viper bite |
title_full | Cerebellar infarct with neurogenic pulmonary edema following viper bite |
title_fullStr | Cerebellar infarct with neurogenic pulmonary edema following viper bite |
title_full_unstemmed | Cerebellar infarct with neurogenic pulmonary edema following viper bite |
title_short | Cerebellar infarct with neurogenic pulmonary edema following viper bite |
title_sort | cerebellar infarct with neurogenic pulmonary edema following viper bite |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271624/ https://www.ncbi.nlm.nih.gov/pubmed/22346200 http://dx.doi.org/10.4103/0976-3147.91954 |
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