小响尾蛇蛇毒中毒用蝰蛇多价免疫 Fab 抗蛇毒血清治疗。

Pygmy rattlesnake envenomation treated with Crotalidae Polyvalent Immune Fab Antivenom.

机构信息

Division of Medical Toxicology, Department of Emergency Medicine, University of Pittsburgh Medical Center, PUH South Tower, Suite M2935, Pittsburgh, PA 15213, USA.

出版信息

Toxicon. 2012 Dec 1;60(7):1287-9. doi: 10.1016/j.toxicon.2012.08.007. Epub 2012 Aug 30.

DOI:10.1016/j.toxicon.2012.08.007

PMID:22963729

Abstract

UNLABELLED

Documented envenomations by the pygmy rattlesnake (Sistrurus miliarius barbouri) are rare. While there have been no documented fatalities, several older case reports describe significant morbidity. We describe the first known case of pygmy rattlesnake envenomation that was treated with Crotalidae Polyvalent Immune Fab Antivenom (CroFab®).

CASE

A 28-year-old man with no significant past medical history presented after being envenomated on the right hand by his friend's pet pygmy rattlesnake. He developed swelling and pain in his hand and forearm. He responded well to a ten vial loading dose and a 18 h maintenance protocol of CroFab and was discharged the following day without developing any hematological or electrolyte derangements.

CONCLUSION

This is the first documented use of CroFab for S. m. barbouri envenomation. The outcome of this case suggests that CroFab is a safe treatment modality in this setting.

摘要

未标记

记录到的侏儒响尾蛇（Sistrurus miliarius barbouri）中毒事件很少见。虽然没有记录到致命的病例，但有几个较旧的病例报告描述了严重的发病率。我们描述了首例已知的用 Crotalidae Polyvalent Immune Fab Antivenom（CroFab®）治疗的侏儒响尾蛇中毒病例。