TY - JOUR
T1 - A Tropical Kiss by a Malabar Pit Viper
AU - Sirur, Freston Marc
AU - Lath, Vrinda
AU - A.S., Chethana
AU - Mohan, Ganesh
AU - Shastry, Shamee
N1 - Funding Information:
This work was funded by contract 030 (Presidenza Consiglio dei Ministri) and contract U.O.C. Rischio Sismico (Regione Toscana)
Publisher Copyright:
© 2021 Wilderness Medical Society
PY - 2022/3
Y1 - 2022/3
N2 - Snakebite in India is often attributed to the “big 4,” for which polyvalent anti-snake venom is effective. Also significant and less known is the burden of other venomous snakes, one of which is Trimeresurus malabaricus. We report a bite to the face of a tree climber by Trimeresurus malabaricus in the Western Ghats of India, which caused severe local envenomation in the form of facial edema and systemic signs of envenomation, including coagulopathy and hypotension. We discuss the role of thromboelastogram, infrared thermography, and routine diagnostics in this case, which led to the administration of Indian-made polyvalent anti-snake venom. The patient recovered and was discharged without any clinically evident physiological or physical dysfunction.
AB - Snakebite in India is often attributed to the “big 4,” for which polyvalent anti-snake venom is effective. Also significant and less known is the burden of other venomous snakes, one of which is Trimeresurus malabaricus. We report a bite to the face of a tree climber by Trimeresurus malabaricus in the Western Ghats of India, which caused severe local envenomation in the form of facial edema and systemic signs of envenomation, including coagulopathy and hypotension. We discuss the role of thromboelastogram, infrared thermography, and routine diagnostics in this case, which led to the administration of Indian-made polyvalent anti-snake venom. The patient recovered and was discharged without any clinically evident physiological or physical dysfunction.
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U2 - 10.1016/j.wem.2021.10.001
DO - 10.1016/j.wem.2021.10.001
M3 - Article
AN - SCOPUS:85120740256
SN - 1080-6032
VL - 33
SP - 116
EP - 121
JO - Wilderness and Environmental Medicine
JF - Wilderness and Environmental Medicine
IS - 1
ER -
