Retrospective Documentation of a Confirmed White-Lipped Green Pit Viper (Trimeresurus albolabris Gray, 1842) Bite in the South-Central Hills of Nepal
| Autor: | Amod Ghimire, Deb P. Pandey, Bhola R. Shrestha |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Trimeresurus albolabris Adolescent Antivenom Snake Bites Viper Venoms Venom-induced consumption coagulopathy Southeast asian Southeast asia Green pit viper 03 medical and health sciences 0302 clinical medicine Nepal parasitic diseases Viperidae Medicine Animals Humans Envenomation Retrospective Studies biology business.industry Public Health Environmental and Occupational Health Pit viper 030208 emergency & critical care medicine 030229 sport sciences medicine.disease biology.organism_classification Dermatology Emergency Medicine business |
| Zdroj: | Wildernessenvironmental medicine. 30(1) |
| ISSN: | 1545-1534 |
| Popis: | This case report documents envenomation by an arboreal white-lipped green pit viper (Trimeresurus albolabris), a species found in South and Southeast Asia that causes the majority of venomous snakebites among Southeast Asian pit vipers. Clinical features vary from asymptomatic to serious coagulopathy that may progress into life-threatening or fatal hemorrhage. The proven life-threatening cases described in published literature, however, are sparse. Practically, no specific antivenom targeted to pit viper bites is available in Nepal. We report a case (managed with several non-evidence-based interventions) of noticeable coagulopathic envenomation due to confirmed T albolabris bite in Nepal. This is the first known reported case of such a bite in Nepal. This case highlights the urgent need to improve diagnosis, monitoring, and supportive care for bite victims and to study the effectiveness of Thai pit viper antivenoms for the treatment of T albolabris envenomations. |
| Databáze: | OpenAIRE |
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