• Anaesth Intensive Care · Sep 2024

    Case Reports

    Taipan envenoming … south of the border.

    • Rachel Heap, Aaron Kennedy, William Davies, Theo Tasoulis, and Geoffrey K Isbister.
    • Intensive Care Unit, Lismore Base Hospital, Lismore, Australia.
    • Anaesth Intensive Care. 2024 Sep 1; 52 (5): 335337335-337.

    AbstractWe present a case of severe taipan envenoming in northern New South Wales in a 68-year-old man. He developed severe neurotoxicity requiring intubation and ventilation, venom-induced consumption coagulopathy, myotoxicity and thrombotic microangiopathy with acute kidney injury requiring dialysis. He was administered brown and tiger snake antivenom consistent with guidelines and snake occurrence in the region. Taipan venom was detected in serum (72 ng/ml) following concern about the severity of neurotoxicity, clinical toxicology consultation and a concurrent report of a taipan in the area. Based on this it would be prudent to stock and consider treating with polyvalent antivenom in north-eastern New South Wales and south-eastern Queensland.

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