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Airway compromise after first rattlesnake envenomation.
Wilderness Environ Med. 2004 Fall; 15(3):188-93.WE

Abstract

The purpose of this report is to describe an unusual presentation of anaphylaxis after first-time rattlesnake envenomation. A patient on a medical toxicology inpatient service is presented who had signs of anaphylaxis, including airway compromise, after first-time rattlesnake envenomation. An epinephrine drip and oral intubation were initiated. This case is unusual in that dermal and gastrointestinal exposure may have been the primary sensitization process that preceded a severe anaphylactic reaction after envenomation. The patient's recovery was prolonged. In conclusion, rattlesnake envenomation may result in rapidly progressive airway compromise, possibly caused by anaphylaxis in patients with previous dermal or gastrointestinal exposure to snake proteins.

Authors+Show Affiliations

Brooks DE
Department of Medical Toxicology, Good Samaritan Regional Medical Center, Phoenix, AZ, USA.
Graeme KA
No affiliation info available

MeSH

AdultAirway ObstructionAnaphylaxisAnimalsAntiveninsBronchodilator AgentsCrotalid VenomsCrotalusDiagnosis, DifferentialEpinephrineHumansIntubation, IntratrachealMaleRadiographySnake Bites

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

15473458

Citation

Brooks, Daniel E., and Kimberlie A. Graeme. "Airway Compromise After First Rattlesnake Envenomation." Wilderness & Environmental Medicine, vol. 15, no. 3, 2004, pp. 188-93.
Brooks DE, Graeme KA. Airway compromise after first rattlesnake envenomation. Wilderness Environ Med. 2004;15(3):188-93.
Brooks, D. E., & Graeme, K. A. (2004). Airway compromise after first rattlesnake envenomation. Wilderness & Environmental Medicine, 15(3), 188-93.
Brooks DE, Graeme KA. Airway Compromise After First Rattlesnake Envenomation. Wilderness Environ Med. 2004;15(3):188-93. PubMed PMID: 15473458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Airway compromise after first rattlesnake envenomation. AU - Brooks,Daniel E, AU - Graeme,Kimberlie A, PY - 2004/10/12/pubmed PY - 2004/10/29/medline PY - 2004/10/12/entrez SP - 188 EP - 93 JF - Wilderness & environmental medicine JO - Wilderness Environ Med VL - 15 IS - 3 N2 - The purpose of this report is to describe an unusual presentation of anaphylaxis after first-time rattlesnake envenomation. A patient on a medical toxicology inpatient service is presented who had signs of anaphylaxis, including airway compromise, after first-time rattlesnake envenomation. An epinephrine drip and oral intubation were initiated. This case is unusual in that dermal and gastrointestinal exposure may have been the primary sensitization process that preceded a severe anaphylactic reaction after envenomation. The patient's recovery was prolonged. In conclusion, rattlesnake envenomation may result in rapidly progressive airway compromise, possibly caused by anaphylaxis in patients with previous dermal or gastrointestinal exposure to snake proteins. SN - 1080-6032 UR - https://www.unboundmedicine.com/medline/citation/15473458/Airway_compromise_after_first_rattlesnake_envenomation_ DB - PRIME DP - Unbound Medicine ER -