Citation

Namal Rathnayaka RMMK, Nishanthi Ranathunga PEA, Ranaweera J, Jayasekara K, Kularatne SAM. Toxicon 2018; 148: 33-39.

Affiliation

Department of Medicine, Faculty of Medicine, University of Peradeniya, Sri Lanka.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.toxicon.2018.03.014

PMID

29608921

Abstract

A 42-year-old previously healthy male patient died 16 days after a proven hump-nosed pit viper (Hypnale hypnale) envenoming due to multi-organ failure. On admission he had cardiac arrest that recovered from cardiopulmonary resuscitation then developed atrial fibrillation which was reverted to normal rhythm by application of synchronized electrical cardioversion. He also had persistent coagulopathy and thrombotic microangiopathy comprising the triad of microangiopathic haemolysis, acute kidney injury and thrombocytopenia. This is the second reported case with cardiac complications following hump-nosed pit viper bites in Sri Lanka.

Copyright © 2018. Published by Elsevier Ltd.

Language: en

Keywords

Atrial fibrillation; Cardiac arrest; Hump-nosed pit viper; Hypnale hypnale; Microangiopathic haemolysis; Sri Lanka; Thrombotic microangiopathy