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Clinically Significant Envenomation From Postmortem Copperhead (Agkistrodon contortrix).
Wilderness Environ Med. 2017 Mar; 28(1):43-45.WE

Abstract

Over 14,000 copperhead (Agkistrodon contortrix) bites were reported to United States poison centers between 1983 and 2008, and 1809 cases were reported to poison centers in 2014. The copperhead is primarily found in the southeastern United States and belongs to the pit viper subfamily Crotalinae, which also includes the water moccasin (Agkistrodon piscivorus) and rattlesnakes (Crotalus and Sistrurus genera). Postmortem rattlesnakes have been reported to cause clinically significant envenomation; we report a case of a postmortem copperhead causing clinically significant envenomation after inadvertent puncture with the deceased copperhead fang. The copperhead was transected twice, leaving the snake in 3 separate pieces. While handling the snake head, an inadvertent puncture occurred on the right index finger followed by pain and swelling in the affected extremity necessitating antivenom administration. Care should be taken when handling deceased pit vipers due to the continued risk of envenomation.

Authors+Show Affiliations

Division of Clinical Toxicology, Department of Emergency Medicine, VCU Medical Center, Richmond, VA (Drs Emswiler and Cumpston); Virginia Poison Center, Richmond, VA (Drs Emswiler and Cumpston); Department of Emergency Medicine, VCU Medical Center, Richmond, VA (Drs Emswiler and Cumpston). Electronic address: emswilermp@vcu.edu.Virginia Commonwealth University School of Medicine, Richmond, VA (Dr Griffith).Division of Clinical Toxicology, Department of Emergency Medicine, VCU Medical Center, Richmond, VA (Drs Emswiler and Cumpston); Virginia Poison Center, Richmond, VA (Drs Emswiler and Cumpston); Department of Emergency Medicine, VCU Medical Center, Richmond, VA (Drs Emswiler and Cumpston).

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27876196

Citation

Emswiler, Michael P., et al. "Clinically Significant Envenomation From Postmortem Copperhead (Agkistrodon Contortrix)." Wilderness & Environmental Medicine, vol. 28, no. 1, 2017, pp. 43-45.
Emswiler MP, Griffith FP, Cumpston KL. Clinically Significant Envenomation From Postmortem Copperhead (Agkistrodon contortrix). Wilderness Environ Med. 2017;28(1):43-45.
Emswiler, M. P., Griffith, F. P., & Cumpston, K. L. (2017). Clinically Significant Envenomation From Postmortem Copperhead (Agkistrodon contortrix). Wilderness & Environmental Medicine, 28(1), 43-45. https://doi.org/10.1016/j.wem.2016.09.007
Emswiler MP, Griffith FP, Cumpston KL. Clinically Significant Envenomation From Postmortem Copperhead (Agkistrodon Contortrix). Wilderness Environ Med. 2017;28(1):43-45. PubMed PMID: 27876196.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinically Significant Envenomation From Postmortem Copperhead (Agkistrodon contortrix). AU - Emswiler,Michael P, AU - Griffith,F Phillip,Th AU - Cumpston,Kirk L, Y1 - 2016/11/18/ PY - 2016/06/14/received PY - 2016/09/22/revised PY - 2016/09/22/accepted PY - 2016/11/24/pubmed PY - 2017/6/16/medline PY - 2016/11/24/entrez KW - Crotalid KW - antivenom KW - copperhead KW - envenomation SP - 43 EP - 45 JF - Wilderness & environmental medicine JO - Wilderness Environ Med VL - 28 IS - 1 N2 - Over 14,000 copperhead (Agkistrodon contortrix) bites were reported to United States poison centers between 1983 and 2008, and 1809 cases were reported to poison centers in 2014. The copperhead is primarily found in the southeastern United States and belongs to the pit viper subfamily Crotalinae, which also includes the water moccasin (Agkistrodon piscivorus) and rattlesnakes (Crotalus and Sistrurus genera). Postmortem rattlesnakes have been reported to cause clinically significant envenomation; we report a case of a postmortem copperhead causing clinically significant envenomation after inadvertent puncture with the deceased copperhead fang. The copperhead was transected twice, leaving the snake in 3 separate pieces. While handling the snake head, an inadvertent puncture occurred on the right index finger followed by pain and swelling in the affected extremity necessitating antivenom administration. Care should be taken when handling deceased pit vipers due to the continued risk of envenomation. SN - 1545-1534 UR - https://www.unboundmedicine.com/medline/citation/27876196/Clinically_Significant_Envenomation_From_Postmortem_Copperhead__Agkistrodon_contortrix__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1080-6032(16)30225-3 DB - PRIME DP - Unbound Medicine ER -