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Ann Fr Anesth Reanim · Jan 2012
Case Reports[Ischaemic stroke secondary to viper envenomation in Morocco in the absence of adequate antivenom].
- M Chani, A Abouzahir, C Haimeur, and G Mion.
- Service de réanimation médicale, hôpital militaire d'instruction Mohammed V, Rabat, Maroc. chanimedaicha@gmail.com
- Ann Fr Anesth Reanim. 2012 Jan 1;31(1):82-5.
AbstractAn ischaemic stroke is a rare complication of viper envenomation that is due to multifactorial pathophysiological mechanisms. The authors describe the case of a 55-year-old patient bitten by the viper Cerastes cerastes. The patient was admitted to the intensive care unit with multiple organ failure, disseminated intravascular coagulopathy, rhabdomyolysis, anuria and elevated troponin level. The persistent disturbance of consciousness has motivated a brain scan which has revealed a bifocal ischemic stroke. The complex venom of the species C. cerastes may induce hypotension, tissue necrosis, acute renal failure, bleeding disorders or DIC. With the cessation of a non-indicated heparintherapy and haemodialysis, the patient recovered in a few weeks despite the initial infusion of an unsuitable antivenom due to the late identification of the reptile. The preventive treatment of the complications of this envenomation is based on the infusion of the polyvalent antivenom Favirept(®).Copyright © 2011 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.
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