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Russell's Viper Envenomation-Associated Addisonian Crisis
Subramanian Senthilkumaran1, Ritesh G Menezes2, Syed Ather Hussain3
1Department of Emergency & Critical Care, Manian Medical Center, Erode, India (Dr Senthilkumaran).
Wilderness & Environmental Medicine
|October 13, 2018
Abstract:
Snakebite envenomation is an important public health problem in tropical countries. We report a case of bilateral adrenal hemorrhage in a 28-y-old man with Russell's viper bite that occurred in the Sathyamangalam forest range in the Indian state of Tamil Nadu. In this case, a combination of early bite recognition, hospital-based supportive care, corticosteroid therapy, and timely administration of polyvalent antivenom resulted in a favorable clinical outcome.