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Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue.
Acta Anaesthesiol Scand. 2009 Nov; 53(10):1361-4.AA

Abstract

A 24-year-old man was bit on the tongue by a European common adder. Within 15 min following envenomation, he experienced tongue swelling, hypotension and impaired consciousness. Antihistamine, corticosteroid and crystalloids were administered. Within 105 min of envenomation, increasing oral, pharyngeal and facial oedema compromised the airway, leading to respiratory failure, concomitant with circulatory failure related to hypoxaemia and systemic toxic effects. Acute tracheotomy secured the airway, and two doses of antivenom successfully treated the systemic, toxic effects. The reaction was severe due to rapid and suspected high-dose uptake of venom, underlining the need for early advanced symptomatic treatment with airway control and early and eventually repeated dosing of antivenom.

Authors+Show Affiliations

Department of Anaesthesia and Intensive Care Medicine, The Danish Poison Information Centre, Bispebjerg University Hospital, Bispebjerg Bakke 23, 60.1, Copenhagen, Denmark. LHOE0021@bbh.regionh.dkNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19681776

Citation

Hoegberg, L C G., et al. "Life-threatening Systemic Toxicity and Airway Compromise From a Common European Adder Bite to the Tongue." Acta Anaesthesiologica Scandinavica, vol. 53, no. 10, 2009, pp. 1361-4.
Hoegberg LC, Jessen CL, Lambertsen K, et al. Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue. Acta Anaesthesiol Scand. 2009;53(10):1361-4.
Hoegberg, L. C., Jessen, C. L., Lambertsen, K., & Stensballe, J. (2009). Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue. Acta Anaesthesiologica Scandinavica, 53(10), 1361-4. https://doi.org/10.1111/j.1399-6576.2009.02083.x
Hoegberg LC, et al. Life-threatening Systemic Toxicity and Airway Compromise From a Common European Adder Bite to the Tongue. Acta Anaesthesiol Scand. 2009;53(10):1361-4. PubMed PMID: 19681776.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue. AU - Hoegberg,L C G, AU - Jessen,C L, AU - Lambertsen,K, AU - Stensballe,J, Y1 - 2009/08/13/ PY - 2009/8/18/entrez PY - 2009/8/18/pubmed PY - 2010/1/27/medline SP - 1361 EP - 4 JF - Acta anaesthesiologica Scandinavica JO - Acta Anaesthesiol Scand VL - 53 IS - 10 N2 - A 24-year-old man was bit on the tongue by a European common adder. Within 15 min following envenomation, he experienced tongue swelling, hypotension and impaired consciousness. Antihistamine, corticosteroid and crystalloids were administered. Within 105 min of envenomation, increasing oral, pharyngeal and facial oedema compromised the airway, leading to respiratory failure, concomitant with circulatory failure related to hypoxaemia and systemic toxic effects. Acute tracheotomy secured the airway, and two doses of antivenom successfully treated the systemic, toxic effects. The reaction was severe due to rapid and suspected high-dose uptake of venom, underlining the need for early advanced symptomatic treatment with airway control and early and eventually repeated dosing of antivenom. SN - 1399-6576 UR - https://www.unboundmedicine.com/medline/citation/19681776/Life_threatening_systemic_toxicity_and_airway_compromise_from_a_common_European_adder_bite_to_the_tongue_ L2 - https://doi.org/10.1111/j.1399-6576.2009.02083.x DB - PRIME DP - Unbound Medicine ER -