A lethal case of mamushi (Gloydius blomhoffii) bite: severe bowel symptoms as a lethal sign. Issue 1 (4th September 2016)

• Record Type: Journal Article
• Authors: Okamoto, Osamu; Nakashima, Ryuta; Yamamoto, Soichiro; Hashimoto, Takuzo; Takasaki, Tomomi; Tokuda, Hayato; Sato, Seiichi; Gamachi, Ayako; Hashimoto, Hiroyuki; Inagaki, Nobuhiro
• Is Part Of: Acute medicine & surgery. Volume 4:Issue 1(2017)
• Page Start: 135
• Page End: 139
• Publication Date: 2016-09-04
• Subjects: Creatinine kinase -- Gloydius blomhoffii -- lethal case -- mamushi bite -- white blood cell count; Surgery -- Periodicals; Medical emergencies -- Periodicals; 617.005
• DOI: 10.1002/ams2.240
• Languages: English
• ISSNs: 2052-8817

Abstract

Abstract : Case: We report a lethal case of a mamushi ( Gloydius blomhoffii ) bite. An 84‐year‐old woman was bitten by a mamushi snake on her right elbow. She was initially treated at another hospital, however, because the swelling expanded and her renal function worsened, she was transferred to our hospital. Compartment syndrome, thrombocytopenia, respiratory arrest, and elevated creatinine kinase and lactose dehydrogenase levels were seen; renal failure progressed, and ileus and peritonitis due to colon perforation occurred. Outcome: The patient died 35 days after the bite. An autopsy revealed widespread necrosis of the ileum, colon, and liver. Conclusion: This report supplies useful clinical information on the treatment of severe mamushi bite cases, and severe abdominal symptoms, such as ileus and melena, may be a lethal sign.