Severe toxicity from crotalid envenomation after early resolution of symptoms.

TitleSevere toxicity from crotalid envenomation after early resolution of symptoms.
Publication TypeJournal Article
Year of Publication1995
AuthorsGuisto JA
JournalAnn Emerg Med
Volume26
Issue3
Pagination387-9
Date Published1995 Sep
ISSN Number0196-0644
KeywordsAdult, Animals, Blood Coagulation Disorders, Crotalid Venoms, crotalus, Emergency Service, Hospital, Humans, Male, Pain, Snake Bites, Time Factors
Abstract

Initial observation of a patient who sustained a rattlesnake bite on the hand showed resolution of mild swelling over 3 hours. The patient left the emergency department against medical advice, only to return 12 hours later with severe pain and swelling, as well as a marked coagulopathy. This case illustrates the need for an observation period after crotalid bite, even when the envenomation seems to be minor or when symptoms resolve.

Alternate JournalAnn Emerg Med
PubMed ID7661435
Faculty Reference: 
John A. Guisto, MD, FACEP