Intrauterine death following green tree viper bite presenting as antepartum hemorrhage

Pant, Hom Prasad; Poudel, Ramesh; Dsovza, V.

doi:10.1016/j.ijoa.2009.04.010

Cited by 11 publications

(1 citation statement)

References 11 publications

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“…Snake bite in pregnancy may result in loss of both fetus and mother. Fetal death may occur with maternal survival, as was the case of a woman bitten by a viper at 33 weeks gestation (24). Overall fetal mortality rates of 43–58% have been reported (25).…”

Section: Envenomationmentioning

confidence: 99%

Animal‐Related Fatalities—Part II: Characteristic Autopsy Findings and Variable Causes of Death Associated with Envenomation, Poisoning, Anaphylaxis, Asphyxiation, and Sepsis

Bury

Langlois

Byard

2011

Journal of Forensic Sciences

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In addition to blunt and sharp trauma, animal-related fatalities may result from envenomation, poisoning, anaphylaxis, asphyxiation, and sepsis. Although the majority of envenomation deaths are caused by hornets, bees, and wasps, the mechanism of death is most often anaphylaxis. Envenomation resulting from the injection of a poison or toxin into a victim occurs with snakes, spiders, and scorpions on land. Marine animal envenomation may result from stings and bites from jellyfish, octopus, stonefish, cone fish, stingrays, and sea snakes. At autopsy, the findings may be extremely subtle, and so a history of exposure is required. Poisoning may also occur from ingesting certain fish, with three main forms of neurotoxin poisoning involving ciguatera, tetrodotoxin ingestion, and paralytic shellfish poisoning. Asphyxiation may follow upper airway occlusion or neck/chest compression by animals, and sepsis may follow bites. Autopsy analysis of cases requires extensive toxinological, toxicological, and biochemical analyses of body fluids.

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Section: Envenomationmentioning

confidence: 99%

Animal‐Related Fatalities—Part II: Characteristic Autopsy Findings and Variable Causes of Death Associated with Envenomation, Poisoning, Anaphylaxis, Asphyxiation, and Sepsis

Bury

Langlois

Byard

2011

Journal of Forensic Sciences

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Cardiopulmonary Bypass

Sreshta,

Miller,

McQuitty

2024

Critical Care Obstetrics

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Intoxikationen bei Schwangeren

Schaefer

Hoffmann-Walbeck

2012

Med Klin Intensivmed Notfmed

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Attempted suicides and poisonings in pregnancy are a challenge for health care professionals because of the unknown effects of the toxic agent and the antidote therapy on the unborn. In case of intoxication, the malformation risk is often overestimated. In contrast, pertinent data show that the risk is not very high as long as the drug is not known as a teratogen and the mother's health is not substantially impaired. This applies to suicide attempts with acetaminophen, iron-containing products, and multidrug overdoses with psychopharmaceuticals as well as snake and spider bites and the ingestion of poisonous mushrooms. It is of utmost importance that the pregnant patient receives the same detoxification and supportive therapy following pertinent guidelines as a non-pregnant patient. The fetus should be followed-up by ultrasound with special focus on its vital parameters, movement pattern, and normal growth and organ differentiation. As long as the maternal health status is not substantially impaired, there is no indication to discuss elective termination of pregnancy "for toxicological reasons".

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Intrauterine death following green tree viper bite presenting as antepartum hemorrhage

Cited by 11 publications

References 11 publications

Animal‐Related Fatalities—Part II: Characteristic Autopsy Findings and Variable Causes of Death Associated with Envenomation, Poisoning, Anaphylaxis, Asphyxiation, and Sepsis

Animal‐Related Fatalities—Part II: Characteristic Autopsy Findings and Variable Causes of Death Associated with Envenomation, Poisoning, Anaphylaxis, Asphyxiation, and Sepsis

Cardiopulmonary Bypass

Intoxikationen bei Schwangeren

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