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Clinical Toxicology Volume 60, 2022 - Issue 7
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Clinical Research

Late hemotoxicity following North American rattlesnake envenomation treated with crotalidae immune F(ab’)2 (equine) antivenom and crotalidae immune polyvalent Fab (ovine) antivenom reported to the North American Snakebite Sub-registry

Meghan Beth Spyresa Department of Emergency Medicine, Banner-University Medical Center Phoenix, Phoenix, AZ, USA;b The University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USACorrespondence[email protected]
,
Gabriel K. Padillac Department of Emergency Medicine, Rhode Island Hospital, Brown University Emergency Medicine Residency, RI, ProvidenceORCID Iconhttps://orcid.org/0000-0003-3168-7231
ORCID Icon,
Richard D. Gerkina Department of Emergency Medicine, Banner-University Medical Center Phoenix, Phoenix, AZ, USA;b The University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA
,
Christopher O. Hoyted Department of Medical Toxicology, Rocky Mountain Poison and Drug Center, Denver, CO, USA;e University of Colorado Denver School of Medicine, Aurora, CO, USA
,
Brian Joseph Wolkf Department of Emergency Medicine, Loma Linda University School of Medicine, Loma Linda, CA, USA
,
Anne-Michelle Ruhaa Department of Emergency Medicine, Banner-University Medical Center Phoenix, Phoenix, AZ, USA;b The University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA
& On Behalf of the ToxIC Snakebite Study Group show all
Pages 838-842 | Received 13 Dec 2021, Accepted 10 Feb 2022, Published online: 09 Mar 2022

References

  • Seifert SA, Boyer LV, Benson BE, et al. AAPCC database characterization of native U.S. venomous snake exposures, 2001-2005. Clin Toxicol. 2009;47(4):327–335.
  • Ruha AM, Curry SC, Albrecht C, et al. Late hematologic toxicity following treatment of rattlesnake envenomation with crotalidae polyvalent immune fab antivenom. Toxicon. 2011;57(1):53–59.
  • Lavonas EJ, Ruha AM, Banner W, Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, et al. Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshop. BMC Emerg Med. 2011;11:2.
  • Bush S, Ruha AM, Seifert S, et al. Comparison of F(ab’)2 versus fab antivenom for pit viper envenomation: a prospective, blinded, multicenter, randomized clinical trial. Clin Toxicol. 2015;53(1):37–45.
  • Mascarenas DN, Fullerton L, Smolinske SC, et al. Comparison of F(ab')2 and Fab antivenoms in rattlesnake envenomation: First year's post-marketing experience with F(ab')2 in New Mexico. Toxicon. 2020;186:42–45.
  • Ruha AM, Padilla-Jones A, Canning J, et al. Early experience with crotalidae immune F(ab’)2 antivenom to treat Arizona rattlesnake envenomations. J Med Toxicol. 2021;18:38–42.
  • Farrugia LA, Rhyee SH, Campleman SH, Toxicology Investigators Consortium (ToxIC) Study Group, et al. The toxicology investigators consortium case registry-the 2017 Annual Report. J Med Toxicol. 2018;14(3):182–211.
  • Bailey AM, Justice S, Davis GA, et al. Delayed hematologic toxicity following rattlesnake envenomation unresponsive to crotalidae polyvalent antivenom. Am J of Emerg Med. 2017;35:1038e1–1038e2.
  • Moore EC, Porter LM, Ruha AM. Rattlesnake venom-induced recurrent coagulopathy in first trimester pregnant women - Two Cases. Toxicon. 2019;163:8–11.
  • Kitchens C, Eskin T. Fatality in a case of envenomation by Crotalus adamanteus initially successfully treated with polyvalent ovine antivenom followed by recurrence of defibrinogenation syndrome. J Med Toxicol. 2008;4(3):180–183.

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