Intravascular hemolysis associated with North American crotalid envenomation

Raquel L. Gibly, Frank G. Walter, Scott W. Nowlin, Robert A. Berg

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Case Report: This is a case of severe intravascular hemolysis, without significant coagulopathy, following envenomation by a North American crotalid, A MEDLINE search from 1966-1997, and a review of older literature, revealed no similar cases. A 4-year-old girl was envenomated in her right foot by a 2.5 foot-long rattlesnake whose description matched that of the Hopi rattlesnake (Crotalus viridis nuntius). The snake was not captured. Her initial hematocrit was 45%. In spite of treatment with antivenin and improvement in her lower extremity pain and swelling, her hematocrit decreased to 20.4% Laboratory tests and clinical exam showed a Coombs positive hemolytic anemia without significant signs of coagulopathy.

Original languageEnglish (US)
Pages (from-to)337-343
Number of pages7
JournalJournal of Toxicology - Clinical Toxicology
Volume36
Issue number4
DOIs
StatePublished - Jan 1 1998

ASJC Scopus subject areas

  • Toxicology
  • Health, Toxicology and Mutagenesis

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