Snake: Make sure that the responsible snake or snakes have been appropriately and safely contained, and are out of danger of inflicting any additional bites. Toxins, 8(8), 244. Differential diagnosis of the altered sensorium was either a neurological complication of the snake bite or sepsis associated encephalopathy. Other supportive and symptomatic measures are always necessary to save the patient, The dose of antivenom does not vary for a child, adult, or even for a pregnant woman, since the snake typically injects the same quantity of venom into an individual, Gynecological evaluation may be necessary for pregnant women bitten by snakes to evaluate the health of the fetus, In many instances, the type of venomous snake involved in the bite is unknown; hence, all vital organs and systems should be closely monitored and treated appropriately, as necessary. Infant death after nose-horned viper (Vipera ammodytes ammodytes) bite in Croatia: A case report. Data supporting hyperperfusion are scarce and the extent of brain edema does not correlate with the severity of hypertension . These toxins cause paralysis by affecting the neuromuscular junction at presynaptic or postsynaptic levels. Nevertheless, a significant number of PRES patients presented without hypertension, including the case we are discussing in this report. The presence of the ... (47.218.156) that was a manual for treating snake bite. Although the exact mechanism of PRES is not clear in these cases, the temporal relation with the snake bites makes the association between the two very probable. Exotic snake bites in the Czech Republic—Epidemiological and clinical aspects during 15-year period (1999–2013). Nose-horned Viper (Vipera ammodytes) Image Credit : Carlos Oliveira. had renal impairment. Over the following week, the patient started to become feverish and obtunded. Faculty of Medicine, Alexandria University, Alexandria, Egypt. The following measures may be considered in the treatment of European Nose Horned Viper Snake Bite, based on the medical evaluation of a trained healthcare professional: European Nose-Horned Viper Snake Bite may be avoided by: Both large and small snakes have the potential for severe envenomation; hence, all snake bites should be treated promptly and appropriately. The presence of multiple cerebral infarctions in most of the cases supports the hypothesis that infarctions are most likely related to the prothrombotic effects of the venom as well as endothelial damage , with the latter being the proposed mechanism by which PRES occurs in snake bite victims. A hypercoagulability panel was ordered. Learning to recognize European nose horned vipers using the following tips: Presence of dark/black zigzag band along the length of the body, seen usually against a light background, A horn-like projection, about 5 mm in size, on its nose, The snake can hiss loudly when it feels threatened, It stays perfectly still, until approached very closely or disturbed, The fangs of the snake are long and can reach about 13 mm (half inch) in size, If you spot a European Nose Horned Viper, step back slowly and keep a safe distance of at least 8-10 feet or more (between yourself and the snake), Avoiding being outdoors at night in forested areas; be careful while camping outdoors, Be particularly vigilant during agricultural activities, harvest times, and rainy periods, Avoid tall grassy areas or thick bushes; if you plan to explore the area, use heavy boots and thick pants, Be on the lookout for snakes and other animals while trekking or hiking; also, if you are with a pet, do not allow the pet to wander away, Always allow snakes crossing your path the right of way, Always stay on established paths and clearings, while walking in the woods, grasslands, or through thick undergrowths, Avoid picking up firewood sticks, stones, or rocks without checking the area for any concealed creatures, Always step on top of large rocks and fallen trunks; never place one’s foot by the side of big rocks and rotting tree stumps. 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