Anahpylactic shock after snake bite

• Main Author: Ninić-Marinković Danijela
• Format: Article
• Language: English
• Published: Serbian Medical Society, Department of Emergency Medicine, Belgrade 2015-01-01
• Series: ABC: časopis urgentne medicine
• Subjects: snake bite; anaphylactic shock; angioedema
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/1451-1053/2015/1451-10531502054N.pdf

AIM: To show an example of an anaphylactic reaction to a bite from non-toxic serpent. MATERIALS AND METHODS: data taken from the original medical report of 35-year-old woman who was bitten by a snake (Aesculapian snake). CASE REPORT: The call is handed over to the emergency department for a young woman who was bitten by a snake. Immediately after the bite she was feeble, pale, sweaty and complained that there was no air. Soon lost consciousness and got red seals on the skin. She was found in comatose state; very pale with diffuse urticaria on the body; cold skin; dispnoic, tachycardiac. Eyes and lips noticeably swollen. On the left leg two punktiforne wounds from bites, without swelling and hematoma around. Auscultation cardiac activity quieter tones, rhythmic, frequency 150 / minute. Respiratory noise weakened both sides, with the tweeter diffuse wheezing. TA: 90/50; SaO2: 89% of the outside air. The patient understood as anaphylactic shock with angioedema. Patient was provided with respiratory support with O2 5l / min through a mask, two venous lines opened . Two infusions of saline were included and 80mg Lemod-solu were given. Initial stabilization was achieved and the patient was transported to reanimation ambulance. Examined by the anesthesiologist, internist, infectologist, and then toxicologist. Examines excluded toxic effects of snakebite, and confirmed the diagnosis of anaphylactic reaction to a bite from non-poisonous snakes. The patient was hospitalized at the Department of Allergology, successfully treated and discharged after two days as recovered. CONCLUSION: this report indicates the importance of distinguishing toxic from non-toxic effects of snakebite and recognition of anaphylactic reactions.