Life threatening intracerebral haemorrhage following saw- scaled viper (Echis carinatus) envenoming-authenticated case report from Sri Lanka

BMC Emergency Medicine

Case Report

Christeine Ariaranee Gnanathasan¹  Chathuranga Lakmal Fonseka²  Vijayabala Jeevagan³ 

[1] Faculty of Medicine, University of Colombo, Colombo, Sri Lanka;National Hospital Sri Lanka, University medical unit, Colombo, Sri Lanka;National Hospital, University medical unit, Colombo, Sri Lanka;National Hospital of Sri Lanka, Regent Street, Colombo 8, Sri Lanka;

关键词: Intracerebral Haemorrhage;    Fresh Freeze Plasma;    Venomous Snake;    Snake Bite;    Fibrinogen Degradation Product;   

DOI  :  10.1186/1471-227X-13-5

 received in 2012-09-17, accepted in 2013-04-05,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundEchis carinatus (Saw scaled viper {SSV}) is a venomous snake found in the parts of Middle East and Central Asia. SSV envenoming is characterized by local swelling and coagulopathy. Various bleeding manifestations are commonly seen with SSV envenoming. In contrast to other part of Asia, saw scale viper envenoming has not been reported to cause life threatening haemorrhagic manifestations in Sri Lanka.Case presentationWe report a 19 years old healthy boy who developed massive left temporo-parietal intra cerebral haemorrhage following Echis carinatus (Saw scaled viper) bite in Sri Lanka.ConclusionAlthough subspecies of SSV in Sri Lanka is regarded as a ‘non lethal venomous snake’, the occurrence of rare potentially fatal complications such as intracerebral haemorrhage should be considered in their management. This case report is intended to bring the awareness of this fatal complication of SSV envenoming in Sri Lanka.

【 授权许可】

Unknown   
© Fonseka et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.