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Severe multi-system failure following delayed presentation with tiger snake envenomation
G A Jelinek1, I R Rogers, M A Corkeron
1Department of Emergency Medicine, Sir Charles Gairdner Hospital, Nedlands, W.A.
Anaesthesia and Intensive Care
|November 10, 1998
Summary
Tiger snake venom can cause severe coagulopathy, paralysis, and muscle damage. Prompt antivenom is crucial to prevent serious illness from Australian snake bites.
Area of Science:
- Toxicology
- Herpetology
- Clinical Medicine
Background:
- Australian elapids, including the tiger snake (Notechis scutatus), possess potent neurotoxic and coagulopathic venoms.
- Envenomation by Australian snakes represents a significant public health concern due to the high toxicity of their venom.
Observation:
- A 68-year-old male presented with severe coagulopathy, paralysis, and muscle necrosis 12 hours post-presumed tiger snake bite.
- The patient experienced multi-systemic failure, necessitating intensive care, including prolonged mechanical ventilation and haemodialysis.
Findings:
- Delayed administration of tiger snake antivenom correlated with severe envenomation outcomes.
- The patient required 26 days of hospitalization for comprehensive supportive care and management of systemic complications.
Implications:
- This case highlights the critical importance of timely antivenom treatment in managing tiger snake envenomation.
- Effective management strategies are essential to mitigate the severe morbidity associated with potent Australian snake venoms.