Bide Your Time With Bites: A Case of Rattlesnake Envenomation in Pennsylvania.

Autor: Zonna X; Internal Medicine, University at Buffalo, Buffalo, USA., Banta CW; Internal Medicine, Geisinger Commonwealth School of Medicine, Scranton, USA., Lott R; Internal Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA., Shah S; Family Medicine, UPMC Shadyside, Pittsburgh, USA., Battista A; Emergency Medicine, Saint Vincent Hospital, Erie, USA., Colleran C; Emergency Medicine, Saint Vincent Hospital, Erie, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Aug 09; Vol. 16 (8), pp. e66539. Date of Electronic Publication: 2024 Aug 09 (Print Publication: 2024).
DOI: 10.7759/cureus.66539
Abstrakt: This case report represents a 26-year-old male with no significant past medical history who presented to the emergency department in western Pennsylvania following a western diamondback rattlesnake ( Crotalus Atrox ) bite to his hand. His initial swelling was mild, and his coagulation studies were unremarkable, with minimal changes on repeat studies, and poison control recommended against antivenom administration. He was discharged home with oral antibiotics and analgesics due to his stable clinical course. However, he returned to the emergency department about 12 hours later with worsening pain and swelling that extended to his elbow. He was then given antivenom and transferred to a larger center for higher-level care, ultimately having symptom resolution after further antivenom administration. This report serves to underline the importance of clinician education regarding envenomation management throughout the United States, including areas without indigenous venomous snakes.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Zonna et al.)
Databáze: MEDLINE