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Published on: June 2, 2015
A patient with snakebite presenting with thrombophlebitis-like appearance and DIC
Hatice Uce Ozkol1, Ayse Serap Karadag, Serap Gunes Bilgili
1Van Research and Training Hospital, Department of Dermatology, Van, Turkey. drhaticeuce@mynet.com
Abstract:
A snakebite is a serious and important problem in tropical and subtropical cities. A vast majority of snakebites are nonvenomous. However, venomous snakebites may cause local tissue destruction, neuroparalysis, systemic hemorrhage, generalized myotoxicity, and acute renal failure. A 10-year-old boy was brought to the emergency room with complaints of swelling, severe pain, and motionless left leg, developed as a result of a snakebite. After the extensive laboratory work-up, he was diagnosed with disseminated intravascular coagulation (DIC) and thrombophlebitis was ruled out. The antivenom treatment was administered and he improved dramatically within 3 days. A snakebite-induced DIC is a very rare complication and its presentation may mimic thrombophlebitis-like picture. A detailed and careful history taking will help to make an accurate diagnosis and, thus, an early proper management will be administered to rescue the patient's life.
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