Tags

Type your tag names separated by a space and hit enter

Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester.
Wilderness Environ Med. 2019 Dec; 30(4):446-449.WE

Abstract

Snake envenomation during pregnancy is an uncommon emergency with several potential complications associated with the poisoning and its treatment. This case discusses a 27-y-old gravida 3, para 1102 (3 total pregnancies, 1 term birth, 1 premature birth, 0 abortions, 2 living births, twins) at 36 wk gestation who was bitten by a presumed Agkistrodon contortrix (copperhead snake). She had worsening pain and swelling in the right lower limb. Crotalidae polyvalent immune Fab was administered. The patient felt significantly better with improvement in swelling. She had a reactive nonstress test and reassuring coagulation studies. She gave birth to a healthy female infant 12 d later. This case supports the use of Crotalidae polyvalent immune Fab for venomous snakebites in pregnant patients to prevent possible maternal and fetal morbidity and mortality.

Authors+Show Affiliations

Family Medicine, WakeMed Health & Hospitals, Raleigh, NC. Electronic address: jessica.yano@pihhealth.org.Family Medicine, WakeMed Health & Hospitals, Raleigh, NC.Emergency Medicine, WakeMed Health & Hospitals, Raleigh, NC.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31699647

Citation

Yano, Jessica, et al. "Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester." Wilderness & Environmental Medicine, vol. 30, no. 4, 2019, pp. 446-449.
Yano J, Zerden M, German B. Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester. Wilderness Environ Med. 2019;30(4):446-449.
Yano, J., Zerden, M., & German, B. (2019). Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester. Wilderness & Environmental Medicine, 30(4), 446-449. https://doi.org/10.1016/j.wem.2019.06.015
Yano J, Zerden M, German B. Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester. Wilderness Environ Med. 2019;30(4):446-449. PubMed PMID: 31699647.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Presumed Copperhead Snakebite and Antivenom Administration in the Third Trimester. AU - Yano,Jessica, AU - Zerden,Matthew, AU - German,Benjamin, Y1 - 2019/11/05/ PY - 2018/12/09/received PY - 2019/06/14/revised PY - 2019/06/21/accepted PY - 2019/11/9/pubmed PY - 2020/2/7/medline PY - 2019/11/9/entrez KW - Agkistrodon contortrix KW - antivenom KW - complications KW - crotalid KW - pit viper KW - pregnancy SP - 446 EP - 449 JF - Wilderness & environmental medicine JO - Wilderness Environ Med VL - 30 IS - 4 N2 - Snake envenomation during pregnancy is an uncommon emergency with several potential complications associated with the poisoning and its treatment. This case discusses a 27-y-old gravida 3, para 1102 (3 total pregnancies, 1 term birth, 1 premature birth, 0 abortions, 2 living births, twins) at 36 wk gestation who was bitten by a presumed Agkistrodon contortrix (copperhead snake). She had worsening pain and swelling in the right lower limb. Crotalidae polyvalent immune Fab was administered. The patient felt significantly better with improvement in swelling. She had a reactive nonstress test and reassuring coagulation studies. She gave birth to a healthy female infant 12 d later. This case supports the use of Crotalidae polyvalent immune Fab for venomous snakebites in pregnant patients to prevent possible maternal and fetal morbidity and mortality. SN - 1545-1534 UR - https://www.unboundmedicine.com/medline/citation/31699647/Presumed_Copperhead_Snakebite_and_Antivenom_Administration_in_the_Third_Trimester L2 - https://linkinghub.elsevier.com/retrieve/pii/S1080-6032(19)30125-5 DB - PRIME DP - Unbound Medicine ER -