Life threatening intracerebral haemorrhage following saw- scaled viper (Echis carinatus) envenoming-authenticated case report from Sri Lanka

Author:

Fonseka Chathuranga Lakmal,Jeevagan Vijayabala,Gnanathasan Christeine Ariaranee

Abstract

Abstract Background Echis carinatus (Saw scaled viper {SSV}) is a venomous snake found in the parts of Middle East and Central Asia. SSV envenoming is characterized by local swelling and coagulopathy. Various bleeding manifestations are commonly seen with SSV envenoming. In contrast to other part of Asia, saw scale viper envenoming has not been reported to cause life threatening haemorrhagic manifestations in Sri Lanka. Case presentation We report a 19 years old healthy boy who developed massive left temporo-parietal intra cerebral haemorrhage following Echis carinatus (Saw scaled viper) bite in Sri Lanka. Conclusion Although subspecies of SSV in Sri Lanka is regarded as a ‘non lethal venomous snake’, the occurrence of rare potentially fatal complications such as intracerebral haemorrhage should be considered in their management. This case report is intended to bring the awareness of this fatal complication of SSV envenoming in Sri Lanka.

Publisher

Springer Science and Business Media LLC

Subject

Emergency Medicine

Reference10 articles.

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3. De Silva A: Echis carinatus. Snakes of Sri Lanka, a coloured atlas. 2009, Colombo: Vijitha Yapa Publications, 116-117.

4. Gnanathasan A, Rodrigo C, Peranantharajah T, Coonghe A: Saw-scaled viper bites in Sri Lanka: is it a different subspecies? Clinical evidence from an authenticated case series. Am J Trop Med Hyg. 2012 Feb, 86 (2): 254-257. 10.4269/ajtmh.2012.11-0447.

5. Kularatne SAM, Sivansuthan S, Medagedara SC, Maduwage K, de Silva A: Revisiting saw-scaled viper (Echis carinatus) bites in the Jaffna Peninsula of Sri Lanka: distribution, epidemiology and clinical manifestations. Trans R Soc Trop Med Hyg. 2011, 105: 591-597l. 10.1016/j.trstmh.2011.07.010.

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