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Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report

BACKGROUND: Snake bite in the third trimester of pregnancy with late presentation, systemic envenomation; disseminated intravascular coagulopathy and delivery of a live neonate is uncommon in a low resource setting. CASE: We present a 22 year old unbooked Gravida 3 Para 1(+ 1) 1alive lentiviral posi...

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Autores principales: Adewole, Adebayo A., Ugiagbe, Osadolor A., Onile, Temitope G., Joseph, Gabriel A., Kassim, Oluwamayowa D., Medupin, Patricia F., Adeniran, Abiodun S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842965/
https://www.ncbi.nlm.nih.gov/pubmed/29594003
http://dx.doi.org/10.1016/j.crwh.2017.10.001
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author Adewole, Adebayo A.
Ugiagbe, Osadolor A.
Onile, Temitope G.
Joseph, Gabriel A.
Kassim, Oluwamayowa D.
Medupin, Patricia F.
Adeniran, Abiodun S.
author_facet Adewole, Adebayo A.
Ugiagbe, Osadolor A.
Onile, Temitope G.
Joseph, Gabriel A.
Kassim, Oluwamayowa D.
Medupin, Patricia F.
Adeniran, Abiodun S.
author_sort Adewole, Adebayo A.
collection PubMed
description BACKGROUND: Snake bite in the third trimester of pregnancy with late presentation, systemic envenomation; disseminated intravascular coagulopathy and delivery of a live neonate is uncommon in a low resource setting. CASE: We present a 22 year old unbooked Gravida 3 Para 1(+ 1) 1alive lentiviral positive woman at 32 weeks gestation with snake bite, leg swelling, vaginal bleeding and labour pains. At presentation, there were anemia, tachycardia, hypotension; a gravid uterus with a single fetus in longitudinal lie, cephalic presentation, regular fetal heart rate and cervical dilatation of 3 cm. Preterm labour with antepartum hemorrhage due to venomous snake bite was diagnosed. Multidisciplinary management instituted led to the survival of both mother and baby. CONCLUSION: In resource constrained setting, disseminated intravascular coagulopathy arising from systemic envenomation due to snake bite in pregnancy could be challenging. Obstetric outcome depends on the degree of envenomation, gestational age at presentation, timing, duration and quality of treatment.
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spelling pubmed-58429652018-03-28 Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report Adewole, Adebayo A. Ugiagbe, Osadolor A. Onile, Temitope G. Joseph, Gabriel A. Kassim, Oluwamayowa D. Medupin, Patricia F. Adeniran, Abiodun S. Case Rep Womens Health Article BACKGROUND: Snake bite in the third trimester of pregnancy with late presentation, systemic envenomation; disseminated intravascular coagulopathy and delivery of a live neonate is uncommon in a low resource setting. CASE: We present a 22 year old unbooked Gravida 3 Para 1(+ 1) 1alive lentiviral positive woman at 32 weeks gestation with snake bite, leg swelling, vaginal bleeding and labour pains. At presentation, there were anemia, tachycardia, hypotension; a gravid uterus with a single fetus in longitudinal lie, cephalic presentation, regular fetal heart rate and cervical dilatation of 3 cm. Preterm labour with antepartum hemorrhage due to venomous snake bite was diagnosed. Multidisciplinary management instituted led to the survival of both mother and baby. CONCLUSION: In resource constrained setting, disseminated intravascular coagulopathy arising from systemic envenomation due to snake bite in pregnancy could be challenging. Obstetric outcome depends on the degree of envenomation, gestational age at presentation, timing, duration and quality of treatment. Elsevier 2017-10-16 /pmc/articles/PMC5842965/ /pubmed/29594003 http://dx.doi.org/10.1016/j.crwh.2017.10.001 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Adewole, Adebayo A.
Ugiagbe, Osadolor A.
Onile, Temitope G.
Joseph, Gabriel A.
Kassim, Oluwamayowa D.
Medupin, Patricia F.
Adeniran, Abiodun S.
Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report
title Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report
title_full Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report
title_fullStr Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report
title_full_unstemmed Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report
title_short Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report
title_sort snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842965/
https://www.ncbi.nlm.nih.gov/pubmed/29594003
http://dx.doi.org/10.1016/j.crwh.2017.10.001
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