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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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Autores principales: Gupta, Salil, Tewari, AK, Nair, Velu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
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.
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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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