@article{ref1,
title="Thrombotic microangiopathy following arabian saw-scaled viper (Echis coloratus) bite: case report",
journal="American journal of case reports",
year="2020",
author="Obeidat, Mohammad Bader and Al-Swailmeen, Ali Mohammad and Al-Sarayreh, Mohammad Mahmoud and Rahahleh, Khaldoun Mohammad",
volume="21",
number="",
pages="e922000-e922000",
abstract="BACKGROUND Consumption coagulopathy post envenomation is one the most common complications after a snakebite. It occurs secondary to activation of a coagulation cascade by snake venom and could be followed by a syndrome consistent with thrombotic microangiopathy. The efficacy of plasma exchange for the treatment of thrombotic microangiopathy post envenomation is a matter of debate. CASE REPORT We reported the case of a 50-year-old male who had Arabian saw-scaled viper envenomation. He developed venom induced coagulopathy that improved within 24 hours of antivenom therapy. He subsequently developed micro-angiopathic hemolytic anemia, thrombocytopenia, and renal failure that was consistent with thrombotic microangiopathy. The patient was treated by plasma exchange and hemodialysis. He made a full recovery and was discharged after 4 weeks. <br><br>CONCLUSIONS This case report supports plasmapheresis as an option for management of a patient who develops thrombotic microangiopathy secondary to snake bite, especially those who do not improve with antivenom and supportive therapy.<p /> <p>Language: en</p>",
language="en",
issn="1941-5923",
doi="10.12659/AJCR.922000",
url="http://dx.doi.org/10.12659/AJCR.922000"
}