Afibrinogenemia following snake bite (Crotalus durissus terrificus)
Autor(a) principal: | |
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Data de Publicação: | 1988 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/28599 |
Resumo: | 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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Revista do Instituto de Medicina Tropical de São Paulo |
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Afibrinogenemia following snake bite (Crotalus durissus terrificus) Afibrinogenemia secundária a acidente ofídico crotálico (Crotalus durissus terrificus) AfibrinogenemiaAcidente ofídico crotálico 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. Relatam se os casos de dois pacientes que desenvolveram afibrinogenemia sem consumo de plaquetas após terem sido picados por Crotalus durissus terrificus. Ambos também tiveram insuficiência renal aguda de alto débito e no caso nº 2 foi feito o diagnóstico de rabdomiólise através da elevação expressiva dos níveis séricos de CPK e DHL. O caso nº 1 recebeu dose não especificada de antiveneno e foi tratado com ácido épsilon-aminocaproico e transfusão de sangue fresco total tendo apresentado normalização dos testes de coagulação 40 horas após estas medidas. O caso nº 2 recebeu dose adequada de antiveneno crotálico e 12 horas depois já evidenciava recuperação do distúrbio da coagulação. O caso nº 1 evoluiu sem apresentar hemorragias. O caso nº 2 apresentou sangramento persistente nos locais de venóclise e após remoção de crostas de impetigo nas pernas. Ambos receberam tratamento conservador para a insuficiência renal aguda e tiveram alta com recuperação da função renal. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo1988-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/28599Revista do Instituto de Medicina Tropical de São Paulo; Vol. 30 No. 4 (1988); 288-292 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 30 Núm. 4 (1988); 288-292 Revista do Instituto de Medicina Tropical de São Paulo; v. 30 n. 4 (1988); 288-292 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/28599/30452Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessAmaral, C. F. S.Rezende, N. A.Pedrosa, T. M. G.Silva, O. A. daPedroso, E. R. P.2012-07-02T01:06:09Zoai:revistas.usp.br:article/28599Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:50:20.303854Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Afibrinogenemia following snake bite (Crotalus durissus terrificus) Afibrinogenemia secundária a acidente ofídico crotálico (Crotalus durissus terrificus) |
title |
Afibrinogenemia following snake bite (Crotalus durissus terrificus) |
spellingShingle |
Afibrinogenemia following snake bite (Crotalus durissus terrificus) Amaral, C. F. S. Afibrinogenemia Acidente ofídico crotálico |
title_short |
Afibrinogenemia following snake bite (Crotalus durissus terrificus) |
title_full |
Afibrinogenemia following snake bite (Crotalus durissus terrificus) |
title_fullStr |
Afibrinogenemia following snake bite (Crotalus durissus terrificus) |
title_full_unstemmed |
Afibrinogenemia following snake bite (Crotalus durissus terrificus) |
title_sort |
Afibrinogenemia following snake bite (Crotalus durissus terrificus) |
author |
Amaral, C. F. S. |
author_facet |
Amaral, C. F. S. Rezende, N. A. Pedrosa, T. M. G. Silva, O. A. da Pedroso, E. R. P. |
author_role |
author |
author2 |
Rezende, N. A. Pedrosa, T. M. G. Silva, O. A. da Pedroso, E. R. P. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Amaral, C. F. S. Rezende, N. A. Pedrosa, T. M. G. Silva, O. A. da Pedroso, E. R. P. |
dc.subject.por.fl_str_mv |
Afibrinogenemia Acidente ofídico crotálico |
topic |
Afibrinogenemia Acidente ofídico crotálico |
description |
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. |
publishDate |
1988 |
dc.date.none.fl_str_mv |
1988-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/28599 |
url |
https://www.revistas.usp.br/rimtsp/article/view/28599 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/28599/30452 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 30 No. 4 (1988); 288-292 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 30 Núm. 4 (1988); 288-292 Revista do Instituto de Medicina Tropical de São Paulo; v. 30 n. 4 (1988); 288-292 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
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