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Bothrops atrox snake bite in a six-year-old child.

D E Bratt1, H E Boos

  • 1Faculty of Medical Sciences, U.W.I., St. Augustine, Trinidad.

The West Indian Medical Journal
|September 1, 1992
PubMed
Summary

A rare snake bite case caused disseminated intravascular coagulation in a child. This bleeding disorder is crucial to consider in Caribbean islands where Bothrops atrox venom is present.

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Area of Science:

  • Toxicology
  • Hematology
  • Pediatrics

Background:

  • Snakebite envenoming is a significant public health issue, particularly in tropical and subtropical regions.
  • Disseminated intravascular coagulation (DIC) is a complex hematological disorder characterized by widespread activation of coagulation.
  • Bothrops atrox, a venomous snake species, is indigenous to parts of South America and the Caribbean.

Observation:

  • A rare case of pediatric snakebite envenoming by Bothrops atrox presented with severe disseminated intravascular coagulation.
  • The patient exhibited acute bleeding manifestations, indicative of a coagulopathy.
  • The clinical presentation mimicked other common causes of bleeding disorders in children.

Findings:

  • The snake venom of Bothrops atrox was identified as the causative agent for the disseminated intravascular coagulation.
  • Diagnostic workup confirmed the presence of widespread activation of the coagulation cascade and consumption of clotting factors.
  • Prompt recognition and management of venom-induced coagulopathy are critical.

Implications:

  • This case highlights the importance of considering snakebite envenoming in the differential diagnosis of acute bleeding disorders in children in endemic areas.
  • Healthcare providers in the West Indian islands of Trinidad, St. Lucia, and Martinique should be aware of Bothrops atrox as a potential cause of DIC.
  • Early diagnosis and appropriate antivenom therapy can improve outcomes for patients with venom-induced disseminated intravascular coagulation.

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