TY - JOUR PY - 1998// TI - Intravascular hemolysis associated with North American crotalid envenomation JO - Journal of toxicology - clinical toxicology A1 - Gibly, R. L. A1 - Walter, F. G. A1 - Nowlin, S. W. A1 - Berg, R. A. SP - 337 EP - 343 VL - 36 IS - 4 N2 - 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

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