title: Resolution of compartment syndrome after rattlesnake envenomation utilizing non-invasive measures.
abstract: Western diamondback rattlesnake envenomation is usually managed by administration of neutralizing antivenom. The development of compartment syndrome is a rare complication that has sparked considerable debate regarding medical vs. surgical management. We report a case of compartment syndrome resulting from a rattlesnake envenomation, which responded to large doses of neutralizing antivenom given concomitantly with mannitol and hyperbaric oxygen. This regimen obviated the need for surgical fasciotomy and its associated morbidity.
authors.affiliation: Maryland Poison Center, University of Maryland at Baltimore, Baltimore, MD , USA.
authors.forename: Barry S
authors.initials: BS
authors.lastname: Gold
authors.forename: Robert A
authors.initials: RA
authors.lastname: Barish
authors.forename: Richard C
authors.initials: RC
authors.lastname: Dart
authors.forename: Ronald P
authors.initials: RP
authors.lastname: Silverman
authors.forename: Grant V
authors.initials: GV
authors.lastname: Bochicchio
mesh_terms: D000328:Adult; D000818:Animals; D000997:Antivenins / Q000627:therapeutic use; D003161:Compartment Syndromes / Q000209:etiology* / Q000628:therapy*; D003435:Crotalid Venoms; D017839:Crotalus; D004234:Diuretics, Osmotic / Q000627:therapeutic use; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008353:Mannitol / Q000627:therapeutic use; D012909:Snake Bites / Q000150:complications*
chemical_list: D000997:Antivenins; D003435:Crotalid Venoms; D004234:Diuretics, Osmotic; D008353:Mannitol