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Thrombotic microangiopathy and fibrinolysis after hump-nosed viper envenomation.

District General Hospital, Polonnaruwa, Sri Lanka. .
Ceylon Medical Journal 03/2012; 57(1):45-6. DOI: 10.4038/cmj.v57i1.4204
Source: PubMed
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    ABSTRACT: Hump-nosed viper bites are common in the Indian subcontinent. In the past, hump-nosed vipers (Hypnale species) were considered moderately venomous snakes whose bites result mainly in local envenoming. However, a variety of severe local effects, hemostatic dysfunction, microangiopathic hemolysis, kidney injury and death have been reported following envenoming by Hypnale species. We systematically reviewed the medical literature on the epidemiology, toxin profile, diagnosis, and clinical, laboratory and postmortem features of hump-nosed viper envenoming, and highlight the need for development of an effective antivenom.
    Journal of Venomous Animals and Toxins including Tropical Diseases 06/2014; 20:24. DOI:10.1186/1678-9199-20-24 · 0.43 Impact Factor
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