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Ultrasound-Guided Compression Method Effectively Counteracts Russell’s Viper Bite-Induced Pseudoaneurysm
Russell’s viper (Daboia russelii), one of the ‘Big Four’ venomous snakes in India, is responsible for the majority of snakebite-induced deaths and permanent disabilities. Russell’s viper bites are known to induce bleeding/clotting abnormalities, as well as myotoxic, nephrotoxic, cytotoxic and neurot...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9032084/ https://www.ncbi.nlm.nih.gov/pubmed/35448869 http://dx.doi.org/10.3390/toxins14040260 |
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author | Senthilkumaran, Subramanian Miller, Stephen W. Williams, Harry F. Vaiyapuri, Rajendran Savania, Ravi Elangovan, Namasivayam Thirumalaikolundusubramanian, Ponniah Patel, Ketan Vaiyapuri, Sakthivel |
author_facet | Senthilkumaran, Subramanian Miller, Stephen W. Williams, Harry F. Vaiyapuri, Rajendran Savania, Ravi Elangovan, Namasivayam Thirumalaikolundusubramanian, Ponniah Patel, Ketan Vaiyapuri, Sakthivel |
author_sort | Senthilkumaran, Subramanian |
collection | PubMed |
description | Russell’s viper (Daboia russelii), one of the ‘Big Four’ venomous snakes in India, is responsible for the majority of snakebite-induced deaths and permanent disabilities. Russell’s viper bites are known to induce bleeding/clotting abnormalities, as well as myotoxic, nephrotoxic, cytotoxic and neurotoxic envenomation effects. In addition, they have been reported to induce rare envenomation effects such as priapism, sialolithiasis and splenic rupture. However, Russell’s viper bite-induced pseudoaneurysm (PA) has not been previously reported. PA or false aneurysm is a rare phenomenon that occurs in arteries following traumatic injuries including some animal bites, and it can become a life-threatening condition if not treated promptly. Here, we document two clinical cases of Russell’s viper bites where PA has developed, despite antivenom treatment. Notably, a non-surgical procedure, ultrasound-guided compression (USGC), either alone, or in combination with thrombin was effectively used in both the cases to treat the PA. Following this procedure and additional measures, the patients made complete recoveries without the recurrence of PA which were confirmed by subsequent examination and ultrasound scans. These data demonstrate the development of PA as a rare complication following Russell’s viper bites and the effective use of a simple, non-surgical procedure, USGC for the successful treatment of PA. These results will create awareness among healthcare professionals on the development of PA and the use of USGC in snakebite victims following bites from Russell’s vipers, as well as other viper bites. |
format | Online Article Text |
id | pubmed-9032084 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-90320842022-04-23 Ultrasound-Guided Compression Method Effectively Counteracts Russell’s Viper Bite-Induced Pseudoaneurysm Senthilkumaran, Subramanian Miller, Stephen W. Williams, Harry F. Vaiyapuri, Rajendran Savania, Ravi Elangovan, Namasivayam Thirumalaikolundusubramanian, Ponniah Patel, Ketan Vaiyapuri, Sakthivel Toxins (Basel) Article Russell’s viper (Daboia russelii), one of the ‘Big Four’ venomous snakes in India, is responsible for the majority of snakebite-induced deaths and permanent disabilities. Russell’s viper bites are known to induce bleeding/clotting abnormalities, as well as myotoxic, nephrotoxic, cytotoxic and neurotoxic envenomation effects. In addition, they have been reported to induce rare envenomation effects such as priapism, sialolithiasis and splenic rupture. However, Russell’s viper bite-induced pseudoaneurysm (PA) has not been previously reported. PA or false aneurysm is a rare phenomenon that occurs in arteries following traumatic injuries including some animal bites, and it can become a life-threatening condition if not treated promptly. Here, we document two clinical cases of Russell’s viper bites where PA has developed, despite antivenom treatment. Notably, a non-surgical procedure, ultrasound-guided compression (USGC), either alone, or in combination with thrombin was effectively used in both the cases to treat the PA. Following this procedure and additional measures, the patients made complete recoveries without the recurrence of PA which were confirmed by subsequent examination and ultrasound scans. These data demonstrate the development of PA as a rare complication following Russell’s viper bites and the effective use of a simple, non-surgical procedure, USGC for the successful treatment of PA. These results will create awareness among healthcare professionals on the development of PA and the use of USGC in snakebite victims following bites from Russell’s vipers, as well as other viper bites. MDPI 2022-04-06 /pmc/articles/PMC9032084/ /pubmed/35448869 http://dx.doi.org/10.3390/toxins14040260 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Senthilkumaran, Subramanian Miller, Stephen W. Williams, Harry F. Vaiyapuri, Rajendran Savania, Ravi Elangovan, Namasivayam Thirumalaikolundusubramanian, Ponniah Patel, Ketan Vaiyapuri, Sakthivel Ultrasound-Guided Compression Method Effectively Counteracts Russell’s Viper Bite-Induced Pseudoaneurysm |
title | Ultrasound-Guided Compression Method Effectively Counteracts Russell’s Viper Bite-Induced Pseudoaneurysm |
title_full | Ultrasound-Guided Compression Method Effectively Counteracts Russell’s Viper Bite-Induced Pseudoaneurysm |
title_fullStr | Ultrasound-Guided Compression Method Effectively Counteracts Russell’s Viper Bite-Induced Pseudoaneurysm |
title_full_unstemmed | Ultrasound-Guided Compression Method Effectively Counteracts Russell’s Viper Bite-Induced Pseudoaneurysm |
title_short | Ultrasound-Guided Compression Method Effectively Counteracts Russell’s Viper Bite-Induced Pseudoaneurysm |
title_sort | ultrasound-guided compression method effectively counteracts russell’s viper bite-induced pseudoaneurysm |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9032084/ https://www.ncbi.nlm.nih.gov/pubmed/35448869 http://dx.doi.org/10.3390/toxins14040260 |
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