Venom-Induced Consumption Coagulopathy Following Hump-Nosed Pit Viper (Genus: Hypnale) Envenoming in Sri Lanka: Uncertain Efficacy of Fresh Frozen Plasma.

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Abstract

Hump-nosed pit vipers (Hypnale spp) cause the highest number of venomous snakebites in Sri Lanka. Bites commonly cause local envenoming leading to local pain, swelling, and necrosis of the site of the bite. Acute kidney injury is the most common systemic manifestation, and some patients develop venom-induced consumption coagulopathy (VICC). Genus Hypnale comprises 3 species. Of them, H hypnale is found in Sri Lanka and the Western Ghats region of India. The other 2 (H nepa and H zara) are endemic species in Sri Lanka.

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Author and article information

Journal

Journal ID (iso-abbrev): Wilderness Environ Med

Title: Wilderness & environmental medicine

Publisher: Elsevier BV

ISSN (Electronic): 1545-1534

ISSN (Print): 1080-6032

Publication date (Electronic): Jun 2020

Volume: 31

Issue: 2

Affiliations

[1 ] Department of Veterinary Pathobiology, Faculty of Veterinary Medicine and Animal Science, University of Peradeniya, Peredeniya, Sri Lanka; Intensive Care Unit/Anaesthesia, Teaching Hospital Ratnapura, Sri Lanka; Postgraduate Institute of Medicine (Clinical Pharmacology and Therapeutics), University of Colombo, Colombo, Sri Lanka. Electronic address: namalrath10@yahoo.com.

[2 ] Medical Unit, Teaching Hospital Ratnapura, Sri Lanka.

[3 ] Faculty of Medicine, University of Peradeniya, Peredeniya, Sri Lanka.

Article

Publisher Item ID: S1080-6032(20)30005-3

DOI: 10.1016/j.wem.2019.12.006

PubMed ID: 32336579

SO-VID: 473909e1-c17a-460e-bf7a-7da11c878d7e

History

Keywords: snakebites,Hypnale nepa, WBCT20,Hypnale zara,thrombotic microangiopathy

Data availability:

Keywords: snakebites, Hypnale nepa, WBCT20, Hypnale zara, thrombotic microangiopathy

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Venom-Induced Consumption Coagulopathy Following Hump-Nosed Pit Viper (Genus: Hypnale) Envenoming in Sri Lanka: Uncertain Efficacy of Fresh Frozen Plasma.

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