Hump-nosed viper bite: an important but under-recognized cause of systemic envenoming

• Autor(a) principal: Shivanthan,Mitrakrishnan Chrishan
• Data de Publicação: 2014
• Outros Autores: Yudhishdran,Jevon, Navinan,Rayno, Rajapakse,Senaka
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: The Journal of venomous animals and toxins including tropical diseases (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992014000200207
• topic: Hypnale; Hump-nosed viper; Envenoming; Viper; Venom; Antivenom

Hump-nosed viper bites are common in the Indian subcontinent. In the past, hump-nosed vipers (Hypnalespecies) 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 byHypnalespecies. 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.