Volume 26, Issue 123, May 2022

Unusual Snake bite complications in a 70 year-old woman: A case Report

Fahad Khalid ALQuwaiay¹, Hessa Abdullah Alshammari¹, Abdulhafeez Osman Eltoum¹, Hani Abdulrahman Almutairi¹, Jaser Sultan Alshamari², Hussain Gadelkarim Ahmed^3♦

¹Department of Medicine, King Khalid Hospital, Hail, Saudi Arabia
²College of Medicine, University of Ha'il, Ha'il, Saudi Arabia
³Department of Histopathology and Cytology, University of Khartoum, Khartoum, Sudan

^♦Corresponding author
Department of Histopathology and Cytology, University of Khartoum, Khartoum, Sudan

ABSTRACT

Introduction: Snake venoms trigger a range of potentially fatal clinical toxicity syndromes. These include coagulopathy and associated hemorrhage, thrombotic microangiopathy, microangiopathic hemolytic anemia, thrombocytopenia, acute kidney injury, and neurotoxicity. Case: The present case experienced unusual complications with an old female presented with a snake (Vipera berus) bite. A 70-year-old diabetic female presented to our emergency department (ER) at 11:00am complaining of a snake bite. Conclusion: Snakebite (Vipera berus) can cause brain ischemic changes/infarction in large hypodense involving the left occipitaltemporal region with attenuation of the temporal horn of the left lateral ventricle. Besides coagulation impairment, a snake bite can result in diverse, progressive complications, such as unconsciousness, and prolonged impairment in coagulation parameters, especially among elderly individuals with comorbidities.

Keywords: snakebite, venom, Vipera berus, brain

Medical Science, 2022, 26, ms164e2263

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DOI: https://doi.org/10.54905/disssi/v26i123/ms164e2263

Published: 07 May 2022