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Severe rattlesnake envenomation with anaphylaxis and rhabdomyolysis.

Publication ,  Journal Article
Bush, SP; Jansen, PW
Published in: Ann Emerg Med
June 1995

A 7-year-old boy presented to the emergency department with severe hypotension and lethargy after a rattlesnake bite. He developed anaphylaxis to antivenom and required intubation, epinephrine, antihistamines, and steroids. Severe rhabdomyolysis and myoglobinuric kidney failure developed over 24 hours, with a peak creatine phosphokinase level of 214,500 units/L. Severe hypocalcemic tetany was treated with replacement therapy. Local wound swelling was never severe and the patient had no coagulopathies. Marked motor weakness improved with antivenom administration. Because of the myotoxic and neurologic effects in the absence of fibrinogenolysis/thrombocytopenia and minimal tissue signs, as well as the similarity to a previously reported case from our area, the envenomation was most likely caused by a Mojave rattlesnake.

Duke Scholars

Published In

Ann Emerg Med

DOI

ISSN

0196-0644

Publication Date

June 1995

Volume

25

Issue

6

Start / End Page

845 / 848

Location

United States

Related Subject Headings

  • Viperidae
  • Snake Bites
  • Rhabdomyolysis
  • Male
  • Hypocalcemia
  • Humans
  • Emergency & Critical Care Medicine
  • Combined Modality Therapy
  • Child
  • Antivenins
 

Citation

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Chicago
ICMJE
MLA
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Bush, S. P., & Jansen, P. W. (1995). Severe rattlesnake envenomation with anaphylaxis and rhabdomyolysis. Ann Emerg Med, 25(6), 845–848. https://doi.org/10.1016/s0196-0644(95)70218-0
Bush, S. P., and P. W. Jansen. “Severe rattlesnake envenomation with anaphylaxis and rhabdomyolysis.Ann Emerg Med 25, no. 6 (June 1995): 845–48. https://doi.org/10.1016/s0196-0644(95)70218-0.
Bush SP, Jansen PW. Severe rattlesnake envenomation with anaphylaxis and rhabdomyolysis. Ann Emerg Med. 1995 Jun;25(6):845–8.
Bush, S. P., and P. W. Jansen. “Severe rattlesnake envenomation with anaphylaxis and rhabdomyolysis.Ann Emerg Med, vol. 25, no. 6, June 1995, pp. 845–48. Pubmed, doi:10.1016/s0196-0644(95)70218-0.
Bush SP, Jansen PW. Severe rattlesnake envenomation with anaphylaxis and rhabdomyolysis. Ann Emerg Med. 1995 Jun;25(6):845–848.
Journal cover image

Published In

Ann Emerg Med

DOI

ISSN

0196-0644

Publication Date

June 1995

Volume

25

Issue

6

Start / End Page

845 / 848

Location

United States

Related Subject Headings

  • Viperidae
  • Snake Bites
  • Rhabdomyolysis
  • Male
  • Hypocalcemia
  • Humans
  • Emergency & Critical Care Medicine
  • Combined Modality Therapy
  • Child
  • Antivenins