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 Citations (Scopus)

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
StatePublished - 1998

Fingerprint

Crotalus
Antivenins
Viperidae
Hemolysis
Swelling
Hematocrit
Snakes
Hemolytic Anemia
MEDLINE
Foot
Lower Extremity
Pain
Therapeutics

ASJC Scopus subject areas

  • Toxicology
  • Health, Toxicology and Mutagenesis

Cite this

Intravascular hemolysis associated with North American crotalid envenomation. / Gibly, Raquel L.; Walter, Frank G; Nowlin, Scott W.; Berg, Robert A.

In: Journal of Toxicology - Clinical Toxicology, Vol. 36, No. 4, 1998, p. 337-343.

Research output: Contribution to journalArticle

Gibly, Raquel L. ; Walter, Frank G ; Nowlin, Scott W. ; Berg, Robert A. / Intravascular hemolysis associated with North American crotalid envenomation. In: Journal of Toxicology - Clinical Toxicology. 1998 ; Vol. 36, No. 4. pp. 337-343.
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