A Case of Death Due to Snake (Rhabdophis Tigrinus) Bite and a Review of Similar Case Reports in Japan

Ogawa, Hiroyasu; Ohmura, Yutaka; Ohhashi, Daizo; Iritani, Isao; Kato, Masataka; Machiki, Yuichi

doi:10.3919/ringe1963.47.250

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 They have two kinds of venom. 3 Cervical gland venom is released from ~ 10 pairs of glands under the skin of the neck when the neck is strongly compressed and the glands rupture, and it causes corneal ulceration and iritis when it enters the eye. Duvernoy's gland venom, in contrast, is released from the hind-region of the maxilla through conduit openings in front of the two pairs of fangs located on the back teeth of the maxilla.…”

Section: Discussionmentioning

confidence: 99%

A Fatal Case of Traumatic Brain Injury With Severe Coagulopathy Due to Rhabdophis Tigrinus (Yamakagashi) Bites, A Case Report

Ueno¹,

Shiino²,

Takahashi³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Yamakagashi venom is a prothrombin activator, leading to disseminated intravascular coagulation. We report a fatal case of severe coagulopathy from head trauma assumed to be caused by a yamakagashi bite. Case Presentation: An 80-year-old man fell and developed systemic tonic–clonic convulsions. Head computed tomography revealed brain contusion and acute subdural hematoma. Physical examination revealed two bite marks with persistent bleeding on the right lower leg. The patient stated that he had been bitten by some creature 3 days prior, but the bite was left untreated. Laboratory tests showed fibrinogen levels below the detection limit. Even though 18 units of fresh frozen plasma were administered for coagulopathy, fibrinogen levels did not improve. He died approximately 13 hours after admission. Conclusion In this case of a yamakagashi bite with active bleeding due to trauma, early administration of Yamakagashi antivenom should be considered to control coagulopathy.

show abstract

Section: Discussionmentioning

confidence: 99%

A Fatal Case of Traumatic Brain Injury With Severe Coagulopathy Due to Rhabdophis Tigrinus (Yamakagashi) Bites, A Case Report

Ueno¹,

Shiino²,

Takahashi³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Yamakagashi is found throughout Russia and eastern Asia, including China, Taiwan, Korea, and Japan (excluding the Ryukyu region), and they produce two kinds of venom [ 2 , 3 ]. Cervical gland venom is released from about ten pairs of glands under the skin of the neck when the glands rupture as the neck is strongly compressed, and it causes corneal ulceration and iritis when it enters the eye.…”

Section: Discussionmentioning

confidence: 99%

A fatal case of traumatic brain injury with severe coagulopathy due to Rhabdophis tigrinus (yamakagashi) bites: a case report

et al. 2021

View full text Add to dashboard Cite

Background Yamakagashi venom is a prothrombin activator, leading to disseminated intravascular coagulation. We report a fatal case of severe coagulopathy from head trauma assumed to be caused by a yamakagashi bite. Case presentation An 80-year-old man fell and developed systemic tonic–clonic convulsions. Head computed tomography revealed brain contusion and acute subdural hematoma. Physical examination revealed two bite marks with persistent bleeding on the right lower leg. The patient stated that he had been bitten by some creature 3 days prior, but the bite was left untreated. Laboratory tests showed fibrinogen levels below the detection limit. Although eighteen units of fresh frozen plasma were administered for coagulopathy, fibrinogen levels did not improve. He died about 18 h after a head injury. Conclusion In this case of a yamakagashi bite with active bleeding due to trauma, early administration of yamakagashi antivenom should be considered to control coagulopathy.

show abstract

A Case of Death Due to Snake (Rhabdophis Tigrinus) Bite and a Review of Similar Case Reports in Japan

Cited by 2 publications

References 0 publications

A Fatal Case of Traumatic Brain Injury With Severe Coagulopathy Due to Rhabdophis Tigrinus (Yamakagashi) Bites, A Case Report

A Fatal Case of Traumatic Brain Injury With Severe Coagulopathy Due to Rhabdophis Tigrinus (Yamakagashi) Bites, A Case Report

A fatal case of traumatic brain injury with severe coagulopathy due to Rhabdophis tigrinus (yamakagashi) bites: a case report

Contact Info

Product

Resources

About