Citation

Gibly RL, Walter FG, Nowlin SW, Berg RA. J. Toxicol. Clin. Toxicol. 1998; 36(4): 337-343.

Affiliation

Division of Emergency Medicine, University of Arizona College of Medicine, Tucson 85724-5057, USA. raquel@aemrc.arizona.edu

Copyright

(Copyright © 1998, Marcel Dekker)

DOI

unavailable

PMID

9711200

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.

Language: en