Spitting cobra (Naja nigricincta nigricincta) bites complicated by rhabdomyolysis, possible intravascular haemolysis, and coagulopathy
Zebra snake (Naja nigricincta nigricincta) bite is a significant health problem in Namibia. Although fatalities are thought to be rare, the severe cytotoxic effects and debilitating consequences of neglected bites are well documented. The focus of our treatment has always been the urgent treatment o...
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| Veröffentlicht in: | SAMJ: South African Medical Journal 2019-10, Vol.109 (10), p.736-740 |
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| creator | Saaiman, E.L. Buys, P.J.C. |
| description | Zebra snake (Naja nigricincta nigricincta) bite is a significant health problem in Namibia. Although fatalities are thought to be rare, the severe cytotoxic effects and debilitating consequences of neglected bites are well documented. The focus of our treatment has always been the urgent treatment of necrosis. Although there have been a few reports of infant fatalities, acute renal failure and mild coagulation problems, systemic effects after envenomation were not well documented. Three case reports of patients with rhabdomyolysis, intravascular haemolysis and coagulopathy following N. n. nigricincta bites are presented. |
| doi_str_mv | 10.7196/SAMJ.2019.v109i10.14103 |
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Three case reports of patients with rhabdomyolysis, intravascular haemolysis and coagulopathy following N. n. nigricincta bites are presented.</description><subject>Acute kidney failure</subject><subject>Animals</subject><subject>Bites (Injuries)</subject><subject>Blood Coagulation Disorders - etiology</subject><subject>Child</subject><subject>Health</subject><subject>Health Care Sciences & Services</subject><subject>Health Policy & Services</subject><subject>Hemolysis</subject><subject>Humans</subject><subject>Infant</subject><subject>Kidney failure</subject><subject>Male</subject><subject>Medical Ethics</subject><subject>Medicine, General & Internal</subject><subject>Medicine, Legal</subject><subject>Medicine, Research & Experimental</subject><subject>Naja</subject><subject>Necrosis</subject><subject>Organizational communication</subject><subject>Public health</subject><subject>Rhabdomyolysis</subject><subject>Rhabdomyolysis - etiology</subject><subject>Snake Bites - complications</subject><subject>Wildlife</subject><subject>Young Adult</subject><issn>0256-9574</issn><issn>2078-5135</issn><issn>2078-5135</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>JRA</sourceid><sourceid>EIF</sourceid><recordid>eNpVUl1v0zAUjRCIlcFfgEi8DIkWO47t5AlV1QZMAx4Kz5bt3DSunDiznUn9A_zuObSbVPvBX-dc33vuybIPGK04rtmX7frn7apAuF49YFSbdI1LjMiLbFEgXi0pJvRltkAFZcua8vIiexPCHqUzrdnr7IJgRihl1SL7tx1NjGbY5dopL_OrX3Iv88HsvNFm0PFs_ylXJkJI0H60RssITa4Oue-kalx_cPYQTPicjy4EoyzkZohePsigJyt93knonyByaFIUuZusG2XsDm-zV620Ad6d1svs7831n8335d3vbz8267ulLjmNS2hrTouCMaAFQFU1rUYcKC4YJy2SrWwAl4iVuipbgmulKlVhrgHplvNSKnKZrY5xgzZgndi7yQ_pQ7GdtRKzVrOqCGGUBi4S4epIGL27nyBE0ZugwVo5gJuCKAjinDBEZ-jHI3QnLQgztC5Vr2e4WDOEOSNVatFzBmeoNBvojXYDtCbdnxH4kaB90tVDK0ZveukPAiMxm0HMZhBz2uJkBvHfDIn5_pT7pHponnlP3U-Aryc1pDIDRBEkJKzoYhyD6BorutSolM78hlONSFzfbgROwtMSGlyTR5NaxkA</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Saaiman, E.L.</creator><creator>Buys, P.J.C.</creator><general>Health and Medical Publishing Group (HMPG)</general><general>Health & Medical Publishing Group</general><general>Health and Medical Publishing Group</general><scope>AEIZH</scope><scope>JRA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>20191001</creationdate><title>Spitting cobra (Naja nigricincta nigricincta) bites complicated by rhabdomyolysis, possible intravascular haemolysis, and coagulopathy</title><author>Saaiman, E.L. ; 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Although fatalities are thought to be rare, the severe cytotoxic effects and debilitating consequences of neglected bites are well documented. The focus of our treatment has always been the urgent treatment of necrosis. Although there have been a few reports of infant fatalities, acute renal failure and mild coagulation problems, systemic effects after envenomation were not well documented. Three case reports of patients with rhabdomyolysis, intravascular haemolysis and coagulopathy following N. n. nigricincta bites are presented.</abstract><cop>South Africa</cop><pub>Health and Medical Publishing Group (HMPG)</pub><pmid>31635568</pmid><doi>10.7196/SAMJ.2019.v109i10.14103</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; African Journals Online (Open Access); Sabinet African Journals Open Access Collection; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Acute kidney failure Animals Bites (Injuries) Blood Coagulation Disorders - etiology Child Health Health Care Sciences & Services Health Policy & Services Hemolysis Humans Infant Kidney failure Male Medical Ethics Medicine, General & Internal Medicine, Legal Medicine, Research & Experimental Naja Necrosis Organizational communication Public health Rhabdomyolysis Rhabdomyolysis - etiology Snake Bites - complications Wildlife Young Adult |
| title | Spitting cobra (Naja nigricincta nigricincta) bites complicated by rhabdomyolysis, possible intravascular haemolysis, and coagulopathy |
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