Citation

Blumenthal R, Scholtz PEP, Shuttleworth JL. Am. J. Forensic Med. Pathol. 2019; ePub(ePub): ePub.

Affiliation

Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Copyright

(Copyright © 2019, Lippincott Williams and Wilkins)

DOI

10.1097/PAF.0000000000000496

PMID

31318708

Abstract

We present the case of a male adult who was admitted to an emergency department after having sustained envenomation from a black mamba (Dendroaspis polylepis). According to the available history, a single fang hooked his right index finger, post venom extraction. After administering antivenom in the accident and emergency department, further vials were transfused in the intensive care unit. An urticarial rash was noted, which was thought to be related to the antivenom. The victim remained in a coma for 3 days, after which he was declared dead. A medicolegal postmortem examination was performed 4 days after death because of logistical reasons. The complexities of differentiating acute envenomation from black mamba versus early acute reactions to polyvalent antivenom administration are highlighted in this case study.

Language: en