20 minutes after bite

3 hours after bite

Can you share some details surrounding the bite?

I keep Cerastes cerastes so I would appreciate if you cold post some more.
Picture, if you got antivenom and other details.
Thanks Peter

From Quarterly Journal of Medicine, 2004:




QJM vol. 97 no. 11 © Association of Physicians 2004; all rights reserved.


[b]Life-threatening envenoming by the Saharan horned viper (Cerastes cerastes) causing micro-angiopathic haemolysis, coagulopathy and acute renal failure: clinical cases and review
[/b]





M. Schneemann¹,
R. Cathomas¹,
S.T. Laidlaw²,
A.M. El Nahas²,
R.D.G. Theakston³ and
D.A. Warrell^3,4

From the ¹Department of Medicine, University Hospital, Zürich, Switzerland, ²
Sheffield Kidney Institute, Northern General Hospital, Sheffield, UK, ³
Alistair Reid Venom Unit, Liverpool School of Tropical Medicine, Liverpool, UK, and ⁴
Nuffield Department of Clinical Medicine, University of Oxford,
John Radcliffe Hospital, Oxford, UK

Received 4 May 2004
and in revised form 12 August 2004




Background: The desert horned vipers (Cerastes cerastesand C. gasperettii) are the most familiar snakes of theand the Middle East, including the plainsof Iraq. They are responsible for many human snake bites. InWestern countries, they are popular among exotic-snake keepers.
Aim: To investigate mechanisms of life-threatening envenomingand treatment.
Design: Clinical investigation.
Methods: Clinical and laboratory studies with measurementof serum venom antigen concentrations by enzyme immunoassay.
Results: Two men bitten while handling captive Saharanhorned vipers (Cerastes cerastes) in Europe developed extensivelocal swelling and life-threatening systemic envenoming, characterizedby coagulopathy, increased fibrinolysis, thrombocytopenia, [b]micro-angiopathic[/b]haemolytic anaemia and acute renal failure. The clinical pictureis explicable by theC. cerastes venom of severalthrombin-like, Factor-X-activating, platelet-aggregating, haemorrhagicand nephrotoxic components. In one case, prophylactic use ofsubcutaneous epinephrine may have contributed to intracranialhaemorrhage. Theandspecific antivenom (recommended) are discussed.
Discussion: Cerastes cerastes is capable of life-threateningenvenoming in humans. Optimal treatment of envenoming is byearly administration of specific antivenom, and avoidance ofineffective and potentially-dangerous ancillary methods.


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greatdeserts of North Africa presence in roles in treatment of heparin (rejected) Don't underestimate those guys!

It's not always the potiency of the venom that kills you. It's how you and your body react to that paticular species and its individual cocktail of goodies. I almost lost a relative to a bite from a 2 1/2 ft. Tx. B/B copperhead several years back. By the way. How did your hand get that close the animal or I guess I should ask why was it that close?

Any further info on the bite Petr?

My english no right sorry,

bite me cca 15 cm long viper at involuntary feeding.
After 8 minutes I was in hospital. Antivenom disapply. Not too effective.
In site injuries only local ache. Otherwise without problems.
Applied corticoids and antagonist. Next only infusion.
On two days I was go home.

There's got to be a better way to get 'em started.........This is exactly what I was thinking about when I was force feeding all of the babies last year.

Thank you for posting, and I'm glad you are well!

JonK

Glad your ok Graeme.

no problem

Petr was there any long term damage to the nerves or tissue?

none

Glad to hear it. That must have been a relief.

yeah, it was.

I have always kept one eye on my male when working around the happy couple. He is a monster and I feel a bite from him and I might not be as lucky as you.