scispace - formally typeset
Open AccessJournal Article

Management of a Gaboon Viper bite: a case report.

TLDR
The course and management of a patient with Gaboon Viper bite is detailed in the light of modern findings on its anticoagulant properties, its cardiotoxic properties and its effect on the respiratory system.
Abstract
The Gaboon Viper is an uncommon snake in Rhodesia, occurring naturally only in the Eastern Districts and Chimanimani's in the high rainfall zones. It is regarded as one of the most dangerous snakes in Africa, though there are few recorded cases of Gaboon Viper bite, and fewer instances of survival. But in these instances there has been little monitoring of the effects on the patient of the venom and response to treatment. Recently there have been advances in our knowledge of the toxicology of Gaboon Viper venom particularly in relationship to its anticoagulant properties, its cardiotoxic properties and its effect on the respiratory system. This paper details the course and management of a patient with Gaboon Viper bite in the light of these modern findings.

read more

Citations
More filters
Journal ArticleDOI

The gaboon viper (Bitis gabonica): its biology, venom components and toxinology

TL;DR: This review proposes three principal activities which give rise to the major signs of systemic envenomation and suggests that the two enzymes which have been studied extensively (phospholipase A2 and the thrombin-like enzyme, gabonase) do not contribute significantly to lethality.
Journal ArticleDOI

The identification and syndromic management of snakebite in South Africa

TL;DR: The identification of snakebite injury is uncertain, especially in the 40% of patients who do not see the offending snake, unless there are paired fang marks or typical findings of an envenomation syndrome as mentioned in this paper.

The identification and syndromic management of snakebite in South Africa : review article

R S Blaylock
TL;DR: The identification of snakebite injury is uncertain, especially in the 40% of patients who do not see the offending snake, unless there are paired fang marks or typical findings of an envenomation syndrome, which would include a thorn prick, spider bite or scorpion sting.
Journal ArticleDOI

Accidental envenoming by a Gaboon viper (Bitis gabonica): the haemostatic disturbances observed and investigation of in vitro haemostatic properties of whole venom

TL;DR: The patient was admitted to casualty soon after the bite with chest tightness, dizziness, nausea and swelling at the site of the bite and was treated immediately with polyspecific antivenom, hydrocortisone, chlorpheniramine and antibiotics.
Journal Article

Myocardial infarction after probable black mamba envenomation. A case report.

TL;DR: A probable direct toxic effect of elapid venom on the myocardium as evidenced by transient ECG changes and transiently elevated cardiac enzyme levels is described and the patient made good recovery.