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Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester.

Publication ,  Journal Article
Yano, J; Zerden, M; German, B
Published in: Wilderness Environ Med
December 2019

Snake envenomation during pregnancy is an uncommon emergency with several potential complications associated with the poisoning and its treatment. This case discusses a 27-y-old gravida 3, para 1102 (3 total pregnancies, 1 term birth, 1 premature birth, 0 abortions, 2 living births, twins) at 36 wk gestation who was bitten by a presumed Agkistrodon contortrix (copperhead snake). She had worsening pain and swelling in the right lower limb. Crotalidae polyvalent immune Fab was administered. The patient felt significantly better with improvement in swelling. She had a reactive nonstress test and reassuring coagulation studies. She gave birth to a healthy female infant 12 d later. This case supports the use of Crotalidae polyvalent immune Fab for venomous snakebites in pregnant patients to prevent possible maternal and fetal morbidity and mortality.

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Published In

Wilderness Environ Med

DOI

EISSN

1545-1534

Publication Date

December 2019

Volume

30

Issue

4

Start / End Page

446 / 449

Location

United States

Related Subject Headings

  • Snake Bites
  • Pregnancy Outcome
  • Pregnancy
  • Immunoglobulin Fab Fragments
  • Humans
  • General & Internal Medicine
  • Female
  • Crotalid Venoms
  • Antivenins
  • Animals
 

Citation

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Yano, J., Zerden, M., & German, B. (2019). Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester. Wilderness Environ Med, 30(4), 446–449. https://doi.org/10.1016/j.wem.2019.06.015
Yano, Jessica, Matthew Zerden, and Benjamin German. “Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester.Wilderness Environ Med 30, no. 4 (December 2019): 446–49. https://doi.org/10.1016/j.wem.2019.06.015.
Yano J, Zerden M, German B. Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester. Wilderness Environ Med. 2019 Dec;30(4):446–9.
Yano, Jessica, et al. “Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester.Wilderness Environ Med, vol. 30, no. 4, Dec. 2019, pp. 446–49. Pubmed, doi:10.1016/j.wem.2019.06.015.
Yano J, Zerden M, German B. Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester. Wilderness Environ Med. 2019 Dec;30(4):446–449.
Journal cover image

Published In

Wilderness Environ Med

DOI

EISSN

1545-1534

Publication Date

December 2019

Volume

30

Issue

4

Start / End Page

446 / 449

Location

United States

Related Subject Headings

  • Snake Bites
  • Pregnancy Outcome
  • Pregnancy
  • Immunoglobulin Fab Fragments
  • Humans
  • General & Internal Medicine
  • Female
  • Crotalid Venoms
  • Antivenins
  • Animals