Hemostatic changes due to the venom gland extract of the red-necked keelback snake ( Rhabdophis subminiatus)

After a bite by the aglyphous red-necked keelback snake Rhabdophis subminiatus a complete defibrinogenation syndrome with severe hemorrhagic diathesis developed in a 25-year-old man. In vitro studies showed that the venom gland extract of the snake contains a very active prothrombin (Factor II) acti...

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Veröffentlicht in:Toxicon (Oxford) 1991, Vol.29 (12), p.1501-1508
Hauptverfasser: Zotz, R.B., Mebs, D., Hirche, H., Paar, D.
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container_end_page 1508
container_issue 12
container_start_page 1501
container_title Toxicon (Oxford)
container_volume 29
creator Zotz, R.B.
Mebs, D.
Hirche, H.
Paar, D.
description After a bite by the aglyphous red-necked keelback snake Rhabdophis subminiatus a complete defibrinogenation syndrome with severe hemorrhagic diathesis developed in a 25-year-old man. In vitro studies showed that the venom gland extract of the snake contains a very active prothrombin (Factor II) activator. The thrombin generated is inhibited neither by antithrombin III nor the antithrombin-III-heparin complex. The venom gland extract stimulated also the tissue plasminogen activator; however, it did not cause direct activation of plasminogen, protein C, Factor X or direct degradation of fibrinogen.
doi_str_mv 10.1016/0041-0101(91)90006-D
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subjects Adult
Animal poisons toxicology. Antivenoms
Animals
Antithrombin III - pharmacology
Biological and medical sciences
Blood Coagulation - drug effects
Blood Coagulation Tests
Exocrine Glands - physiology
Factor X - physiology
Fibrinogen - metabolism
Hemorrhage - chemically induced
Hemorrhage - physiopathology
Hemostasis - drug effects
Heparin - pharmacology
Humans
Male
Medical sciences
Plasminogen - physiology
Plasminogen Activators - physiology
Protein C - metabolism
Snake Bites - physiopathology
Snakes - physiology
Tissue Extracts - pharmacology
Tissue Plasminogen Activator - metabolism
Toxicology
Venoms - chemistry
title Hemostatic changes due to the venom gland extract of the red-necked keelback snake ( Rhabdophis subminiatus)
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