Case report: acute demyelinating encephalomyelitis following viper bite.

Abstract:

:The most serious complications of the central nervous system that occur after venomous snake bite are intracranial hemorrhage and ischemic stroke.We present a rarely seen central nervous system complication, acute demyelinating encephalomyelitis, after a treated Deinagkistrodon's viper bite.On April 5, 2015, a 50-year-old male farmer was bitten on his right leg by a Deinagkistrodon's viper. The bite rendered the victim unconscious for 14 days, during which he was treated with tetanus toxoid and polyvalent antisnake venom. Acute demyelinating encephalomyelitis (ADEM) was suspected after magnetic resonance imaging of the brain. After a high dose of methylprednisolone was used as diagnostic treatment, the patient started recovering fast.ADEM is a rare complication after snake bite, and is triggered by venom or antivenin. Magnetic resonance imaging helps in the early diagnosis of ADEM, and high-dose corticosteroid therapy appears to be effective in ADEM after viper bite or antivenin management.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Xu A,Shan R,Huang D,Zhou J,Keenoo A,Qin J

doi

10.1097/MD.0000000000005310

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

e5310

issue

45

eissn

0025-7974

issn

1536-5964

pii

00005792-201611080-00012

journal_volume

95

pub_type

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