Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue

L C G Hoegberg; C L Jessen; K Lambertsen; J Stensballe

doi:10.1111/j.1399-6576.2009.02083.x

Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue

L C G Hoegberg, C L Jessen, K Lambertsen, J Stensballe

Department of International Health

6 Citations (Scopus)

Abstract

A 24-year-old man was bit on the tongue by a European common adder. Within 15 min following envenomation, he experienced tongue swelling, hypotension and impaired consciousness. Antihistamine, corticosteroid and crystalloids were administered. Within 105 min of envenomation, increasing oral, pharyngeal and facial oedema compromised the airway, leading to respiratory failure, concomitant with circulatory failure related to hypoxaemia and systemic toxic effects. Acute tracheotomy secured the airway, and two doses of antivenom successfully treated the systemic, toxic effects. The reaction was severe due to rapid and suspected high-dose uptake of venom, underlining the need for early advanced symptomatic treatment with airway control and early and eventually repeated dosing of antivenom.

Original language	English
Journal	Acta Anaesthesiologica Scandinavica
Volume	53
Issue number	10
Pages (from-to)	1361-4
Number of pages	4
ISSN	0001-5172
DOIs	https://doi.org/10.1111/j.1399-6576.2009.02083.x
Publication status	Published - 2009

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title = "Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue",

abstract = "A 24-year-old man was bit on the tongue by a European common adder. Within 15 min following envenomation, he experienced tongue swelling, hypotension and impaired consciousness. Antihistamine, corticosteroid and crystalloids were administered. Within 105 min of envenomation, increasing oral, pharyngeal and facial oedema compromised the airway, leading to respiratory failure, concomitant with circulatory failure related to hypoxaemia and systemic toxic effects. Acute tracheotomy secured the airway, and two doses of antivenom successfully treated the systemic, toxic effects. The reaction was severe due to rapid and suspected high-dose uptake of venom, underlining the need for early advanced symptomatic treatment with airway control and early and eventually repeated dosing of antivenom.",

author = "Hoegberg, {L C G} and Jessen, {C L} and K Lambertsen and J Stensballe",

note = "Keywords: Airway Obstruction; Animals; Antivenins; Humans; Immunologic Factors; Male; Shock; Snake Bites; Tongue; Tracheotomy; Treatment Outcome; Viper Venoms; Viperidae; Young Adult",

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doi = "10.1111/j.1399-6576.2009.02083.x",

language = "English",

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T1 - Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue

AU - Hoegberg, L C G

AU - Jessen, C L

AU - Lambertsen, K

AU - Stensballe, J

N1 - Keywords: Airway Obstruction; Animals; Antivenins; Humans; Immunologic Factors; Male; Shock; Snake Bites; Tongue; Tracheotomy; Treatment Outcome; Viper Venoms; Viperidae; Young Adult

PY - 2009

Y1 - 2009

N2 - A 24-year-old man was bit on the tongue by a European common adder. Within 15 min following envenomation, he experienced tongue swelling, hypotension and impaired consciousness. Antihistamine, corticosteroid and crystalloids were administered. Within 105 min of envenomation, increasing oral, pharyngeal and facial oedema compromised the airway, leading to respiratory failure, concomitant with circulatory failure related to hypoxaemia and systemic toxic effects. Acute tracheotomy secured the airway, and two doses of antivenom successfully treated the systemic, toxic effects. The reaction was severe due to rapid and suspected high-dose uptake of venom, underlining the need for early advanced symptomatic treatment with airway control and early and eventually repeated dosing of antivenom.

AB - A 24-year-old man was bit on the tongue by a European common adder. Within 15 min following envenomation, he experienced tongue swelling, hypotension and impaired consciousness. Antihistamine, corticosteroid and crystalloids were administered. Within 105 min of envenomation, increasing oral, pharyngeal and facial oedema compromised the airway, leading to respiratory failure, concomitant with circulatory failure related to hypoxaemia and systemic toxic effects. Acute tracheotomy secured the airway, and two doses of antivenom successfully treated the systemic, toxic effects. The reaction was severe due to rapid and suspected high-dose uptake of venom, underlining the need for early advanced symptomatic treatment with airway control and early and eventually repeated dosing of antivenom.

U2 - 10.1111/j.1399-6576.2009.02083.x

DO - 10.1111/j.1399-6576.2009.02083.x

M3 - Journal article

C2 - 19681776

SN - 0001-5172

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SP - 1361

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JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

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Life-threatening systemic toxicity and airway compromise from a common European adder bite to the tongue

Abstract

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