afibrinogenemia following snake bite (crotalus durissus terrificus)

afibrinogenemia following snake bite (crotalus durissus terrificus)

;C. F. S. Amaral;N. A. Rezende;T. M. G. Pedrosa;O. A. da Silva;E. R. P. Pedroso
2017 12th international conference for internet technology and secured transactions, icitst 2017 1988 Vol. 30 pp. 288-292
161
amaral1988revistaafibrinogenemia

Abstract

This paper reports two cases of afibrinogenemia with normal platelet count following Crotalus durissus terrificus, snake bite Both patients presented high output acute renal failure and case two also had increased blood levels of CPK and LDH compatible with the diagnosis of rhabdomyolysis. Case one was given an unknown amount of antivenom and was treated with epsilonaminocaproic acid and a fresh whole blood transfusion and showed recovery of the coagulation disturbance 40 hours following these measures. Case two was given an adequate amount of crotalide antivenom and the coagulation tests performed 12 hours later showed a normal partial thromboplastin time and fibrinogen 86 mg/100ml. Case one presented no haemorrhagic disturbances. Case two presented persistent bleeding following venopuncture and after removal of impetigo crust in the legs. Acute renal failure was treated conservatively and both patients were discharged from the hospital with recovery of the renal function.

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10.1590/S0036-46651988000400007
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