Snake Envenomation Causing Distant Tracheal Myonecrosis

Snakebites are often believed to be poisonous. However, this is not always the case. In fact, each bite differs from snake to snake, depending on if the snake is poisonous and if there is envenomation. Venom in pit viper snakebites is often associated with local necrosis. The abundant literature sel...

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Main Authors: Amina Khimani, Afton Mcnierney, Sara Surani, Salim Surani
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2013/364195
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author Amina Khimani
Afton Mcnierney
Sara Surani
Salim Surani
author_facet Amina Khimani
Afton Mcnierney
Sara Surani
Salim Surani
author_sort Amina Khimani
collection DOAJ
description Snakebites are often believed to be poisonous. However, this is not always the case. In fact, each bite differs from snake to snake, depending on if the snake is poisonous and if there is envenomation. Venom in pit viper snakebites is often associated with local necrosis. The abundant literature selections and research articles justify local myonecrosis due to envenomation, but there is not much in the literature regarding myonecrosis at a site distant from the snakebite. We hereby present a case of a 42-year-old man who was transferred to our emergency department after a rattlesnake bit him twice. The patient, besides developing local myonecrosis at the site of the snakebite, developed necrosis of the scrotum as well as tracheal pressure myonecrosis at the site of the endotracheal tube balloon. In this review, we will attempt to discuss the myonecrosis pathophysiology and management related to the rattle snakebite.
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spelling doaj-art-0a12dd48c47845bd9232db8c4aec5cb52025-02-03T06:05:34ZengWileyCase Reports in Pulmonology2090-68462090-68542013-01-01201310.1155/2013/364195364195Snake Envenomation Causing Distant Tracheal MyonecrosisAmina Khimani0Afton Mcnierney1Sara Surani2Salim Surani3University of California, Berkeley, CA 94704, USAChristus Spohn Hospital Emergency Medicine Residency, Corpus Christi, TX 78404, USAPulmonary Associates, Corpus Christi, TX 78413, USATexas A&M University, 1177 W Wheeler Avenue, Suite 1, Aransas Pass, TX 78336, USASnakebites are often believed to be poisonous. However, this is not always the case. In fact, each bite differs from snake to snake, depending on if the snake is poisonous and if there is envenomation. Venom in pit viper snakebites is often associated with local necrosis. The abundant literature selections and research articles justify local myonecrosis due to envenomation, but there is not much in the literature regarding myonecrosis at a site distant from the snakebite. We hereby present a case of a 42-year-old man who was transferred to our emergency department after a rattlesnake bit him twice. The patient, besides developing local myonecrosis at the site of the snakebite, developed necrosis of the scrotum as well as tracheal pressure myonecrosis at the site of the endotracheal tube balloon. In this review, we will attempt to discuss the myonecrosis pathophysiology and management related to the rattle snakebite.http://dx.doi.org/10.1155/2013/364195
spellingShingle Amina Khimani
Afton Mcnierney
Sara Surani
Salim Surani
Snake Envenomation Causing Distant Tracheal Myonecrosis
Case Reports in Pulmonology
title Snake Envenomation Causing Distant Tracheal Myonecrosis
title_full Snake Envenomation Causing Distant Tracheal Myonecrosis
title_fullStr Snake Envenomation Causing Distant Tracheal Myonecrosis
title_full_unstemmed Snake Envenomation Causing Distant Tracheal Myonecrosis
title_short Snake Envenomation Causing Distant Tracheal Myonecrosis
title_sort snake envenomation causing distant tracheal myonecrosis
url http://dx.doi.org/10.1155/2013/364195
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AT salimsurani snakeenvenomationcausingdistanttrachealmyonecrosis