title: Serious envenomation after a snakebite by a Western bush viper (Atheris chlorechis) in the Netherlands: a case report.
abstract: Venomous snakebites are a rarity in the Netherlands. In this report we describe the case of a 26-year-old male amateur snakekeeper who was bitten in his left index finger by a Western bush viper (Atheris chlorechis). His clinical condition deteriorated rapidly with acute renal failure and considerable blood loss due to coagulopathy. Antidote was not readily available and was finally supplied by a zoo in Antwerp, Belgium. One day after admission the blood loss diminished.
authors.affiliation: Intensive and Respiratory Care Unit, Department of Internal Medicine, University Medical Centre Groningen, Groningen, the Netherlands. j.e.tulleken@int.umcg.nl
authors.forename: L J
authors.initials: LJ
authors.lastname: Top
authors.forename: J E
authors.initials: JE
authors.lastname: Tulleken
authors.forename: J J M
authors.initials: JJ
authors.lastname: Ligtenberg
authors.forename: J H J M
authors.initials: JH
authors.lastname: Meertens
authors.forename: T S
authors.initials: TS
authors.lastname: van der Werf
authors.forename: J G
authors.initials: JG
authors.lastname: Zijlstra
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced / Q000628:therapy; D000328:Adult; D000818:Animals; D000997:Antivenins / Q000627:therapeutic use*; D003435:Crotalid Venoms / Q000506:poisoning*; D005385:Fingers / Q000503:physiopathology; D006470:Hemorrhage / Q000139:chemically induced / Q000628:therapy; D006801:Humans; D008297:Male; D009426:Netherlands; D012909:Snake Bites / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D013997:Time Factors; D017819:Viperidae
chemical_list: D000997:Antivenins; D003435:Crotalid Venoms