Open Access
Subscription Access
Open Access
Subscription Access
Myocarditis Complicating Viper Snake Bite in a Child
Subscribe/Renew Journal
Snake bites are important medical emergencies in clinical practice. Viper bite envenomation classically comprise of local cellulitis, coagulopathy and nephrotoxicity. Cardiovascular manifestations are rarely reported which usually include non-specific ECG changes.We report 12 year old boy who developed shock and myocarditis following viper envenomation along with coagulopathy and kidney injury.
Keywords
Viper Envenomation, Shock, Myocarditis, Coagulopathy, AKI.
User
Subscription
Login to verify subscription
Font Size
Information
- David A Warrell. Guidelines for the management of snake-bites. World Health Organization, New Delhi. 2010. India.
- Agarwal A, Kumar T, Ravindranath K S, Bhat P, Manjunath C N, Agarwal N. Sinus node dysfunction complicating viper bite. Asian Cardiovascular and Thoracic Annals. 2015; 23: 212-214.
- Thewjitcharoen Y, Poopitaya S. Ventricular Tachycardia, A Rare Manifestation of Russell’s Viper Bite: Case Report. J Med Assoc Thai 2005; 88:1931-1933.
- Moore R S. Second-degree heart block associated with envenomation by Vipera berus Archives of Emergency Medicine. 1988;5:116-118.
- Kularatne S A M. Epidemiology and clinical picture of the russell’s viper (daboia russelii russelii) bite in Anuradhapura, Sri lanka: a prospective study of 336 patients. Southeast Asian J Trop Med Public Health.2003;34:855-861.
- Seneviratne S L, Gunatilake S B, Fonseka M M, Adhikari A A, de Silva H J. Lack of myocardial damage following Sri Lankan Russell’s viper and hump-nosed viper bites. Ceylon Med J 1999;44:70-73.
- Bhatt A, Menon A A, Bhat R, Ramamoorthi K. Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite. BMJ Case Rep. 2013; 2013: bcr2013200336.
- Kularatne S A M, Silva A, Weerakoon K, Maduwage K, Walathara C, Ran Paranagama R, Mendis S. Revisiting Russell’s Viper (Daboia russelii) Bite in Sri Lanka: Is Abdominal Pain an Early Feature of Systemic Envenoming?. PLoS One. 2014; 9(2): e90198.
- Caforio A L P, Pankuweit S, Arbustini E, Basso C, Gime-no-Blanes J, Felix S B et al.
- Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2013;34:2636-2648.
- Gupta P, Mahajan N, Gupta R, Gupta P, Chowdhary I, Singh P, Gupta A K, Kakkar M. Cardiotoxicity Profile of Snake Bite. JK Science.2013;15:169-173.
Abstract Views: 479
PDF Views: 4