@article{ref1,
title="Intravascular hemolysis associated with North American crotalid envenomation",
journal="Journal of toxicology - clinical toxicology",
year="1998",
author="Gibly, R. L. and Walter, F. G. and Nowlin, S. W. and Berg, R. A.",
volume="36",
number="4",
pages="337-343",
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.<p /><p>Language: en</p>",
language="en",
issn="0731-3810",
doi="",
url="http://dx.doi.org/"
}