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Life-threatening upper airway edema caused by a distal rattlesnake bite.
Ann Emerg Med. 2001 Jul; 38(1):79-82.AE

Abstract

A 36-year-old man captured a timber rattlesnake and was accidentally envenomated in the thumb by the severed head. At a local emergency department, hypotension and confusion developed. Facial and glossal edema were also observed. Oxygen was delivered by face mask, and crystalloids and dopamine were administered. Respiratory distress developed with progressive hypoxemia. Intubation was unsuccessful because of massive glossal and epiglottic (laryngeal) edema, and an emergency cricothyrotomy was performed. High-dose antivenom therapy was administered, and mechanical ventilation was started. Recovery was rapid, and the patient was discharged from the hospital a week later. This is the first report of life-threatening upper airway edema caused by snake envenomation not in the vicinity of the head or neck.

Authors+Show Affiliations

Scott & White Clinic and Memorial Hospital, Scott, Sherwood and Brindley Foundation, Texas A&M University System, Health Science Center College of Medicine, Temple, TX, USA. drjdh@usa.netNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11423817

Citation

Hinze, J D., et al. "Life-threatening Upper Airway Edema Caused By a Distal Rattlesnake Bite." Annals of Emergency Medicine, vol. 38, no. 1, 2001, pp. 79-82.
Hinze JD, Barker JA, Jones TR, et al. Life-threatening upper airway edema caused by a distal rattlesnake bite. Ann Emerg Med. 2001;38(1):79-82.
Hinze, J. D., Barker, J. A., Jones, T. R., & Winn, R. E. (2001). Life-threatening upper airway edema caused by a distal rattlesnake bite. Annals of Emergency Medicine, 38(1), 79-82.
Hinze JD, et al. Life-threatening Upper Airway Edema Caused By a Distal Rattlesnake Bite. Ann Emerg Med. 2001;38(1):79-82. PubMed PMID: 11423817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Life-threatening upper airway edema caused by a distal rattlesnake bite. AU - Hinze,J D, AU - Barker,J A, AU - Jones,T R, AU - Winn,R E, PY - 2001/6/26/pubmed PY - 2001/7/28/medline PY - 2001/6/26/entrez SP - 79 EP - 82 JF - Annals of emergency medicine JO - Ann Emerg Med VL - 38 IS - 1 N2 - A 36-year-old man captured a timber rattlesnake and was accidentally envenomated in the thumb by the severed head. At a local emergency department, hypotension and confusion developed. Facial and glossal edema were also observed. Oxygen was delivered by face mask, and crystalloids and dopamine were administered. Respiratory distress developed with progressive hypoxemia. Intubation was unsuccessful because of massive glossal and epiglottic (laryngeal) edema, and an emergency cricothyrotomy was performed. High-dose antivenom therapy was administered, and mechanical ventilation was started. Recovery was rapid, and the patient was discharged from the hospital a week later. This is the first report of life-threatening upper airway edema caused by snake envenomation not in the vicinity of the head or neck. SN - 0196-0644 UR - https://www.unboundmedicine.com/medline/citation/11423817/Life_threatening_upper_airway_edema_caused_by_a_distal_rattlesnake_bite_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-0644(01)75681-8 DB - PRIME DP - Unbound Medicine ER -