Delayed antivenom treatment for a patient after envenomation by Crotalus atrox.

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Rosen PB, Leiva JI, Ross CP

Delayed antivenom treatment for a patient after envenomation by Crotalus atrox.

Ann Emerg Med. 2000 Jan;35(1):86-8.

PubMed ID
10613947 [ View in PubMed
]
Abstract

Bites by the Western diamondback rattlesnake (Crotalus atrox) are the most common cause of envenomation in Texas. We describe a patient who had delayed administration of antivenom after envenomation by C atrox. Because of an initial adverse response to a test dose, the patient had been unwilling to receive antivenom therapy. When compartment syndrome developed 52 hours after envenomation, however, the patient consented to antivenom therapy as an alternative to fasciotomy. We documented a decrease in compartment pressures and resolution of thrombocytopenia that was concomitant with antivenom administration.

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