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Case Reports
. 2018 Dec;29(4):504-507.
doi: 10.1016/j.wem.2018.06.001. Epub 2018 Oct 8.

Russell's Viper Envenomation-Associated Addisonian Crisis

Subramanian Senthilkumaran  1 , Ritesh G Menezes  2 , Syed Ather Hussain  3 , Sushil Allen Luis  4 , Ponniah Thirumalaikolundusubramanian  5
Affiliations
Case Reports

Russell's Viper Envenomation-Associated Addisonian Crisis

Subramanian Senthilkumaran et al. Wilderness Environ Med. 2018 Dec.

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.

Keywords: adrenal hemorrhage; snakes; vasculotoxicity; venoms.

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