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Severe local and systemic haematotoxic envenoming caused by a Malayan pit viper (Calloselasma rhodostoma) in a pregnant woman in Lao People's Democratic Republic.
Toxicon
January 2025
Emergency Department, Setthatirath Hospital, Vientiane, Laos.
Snakebite envenoming in pregnant women is rare, accounting for approximately 0.5-1.8% of all snakebite cases.
View Article and Find Full Text PDFAntivenom ineffectiveness in Echis carinatus sochureki envenoming: a five-year, single-centre experience from India.
Trans R Soc Trop Med Hyg
January 2025
Department of Medicine, All India Institute of Medical Sciences, Jodhpur 342005, India.
Background: Snakebite is a neglected tropical disease that causes significant morbidity and mortality in India. In this study, we describe the clinical characteristics and outcomes of Echis carinatus sochureki envenoming from Western Rajasthan. We document the clinical ineffectiveness of the currently available Indian polyvalent antivenom in managing E.
View Article and Find Full Text PDFDetection of enoxaparin and argatroban by use of the novel viscoelastic coagulometer ClotPro.
Sci Rep
November 2024
Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Division of General Anaesthesia and Intensive Care Medicine, Medical University of Vienna, Währinger Gürtel 18-20, Wien, Vienna, 1090, Austria.
Article Synopsis
- The study investigates point-of-care diagnostic tests for monitoring the anticoagulants enoxaparin and argatroban in critically ill patients who face risks of thrombosis and bleeding.
- Blood samples from twelve healthy volunteers were used to evaluate the performance of the ClotPro viscoelastic coagulometer alongside traditional coagulation tests.
- Results indicated that the RVV test for enoxaparin is not reliable, while the ECA test shows strong correlation and may be a better option for accurately detecting argatroban levels.
After the bite: evaluating a specialized clinic for follow-up care for snake envenomation.
Clin Toxicol (Phila)
January 2025
Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Article Synopsis
- The observational study involved 52 patients, primarily male with a median age of 29, highlighting common envenomations, persistent symptoms, and treatments provided, including compression and physical therapy.
- Key findings indicated that 61.5% of patients had persistent edema, with the clinic effectively addressing significant post-discharge issues through comprehensive wound care and referrals.
Acute compartment syndrome leading to fasciotomy, severe morbidity and long-term disabilities following Sri Lankan Green pit viper (Peltopelor trigonocephalus) envenomation.
Toxicon
December 2024
Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
Green pit viper (Peltopelor trigonocephalus) is a medically important endemic snake in Sri Lanka. Its envenoming commonly causes local effects such as pain, swelling, blistering, and lymphadenopathy and rarely causes venom-induced consumption coagulopathy as a systemic effect. Despite its frequent encounters in estates, commonly tea and cinnamon plantations, reports of envenoming are rare and limited to nine reports in the literature.
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