title: Viper bite with continuous defibrination despite adequate treatment with antivenom.
abstract: A case of envenomation due to viperine snakebite poisoning is presented. Patient showed continuous defibrination, without any other signs of poisoning, which could not be reversed with more than double the usual dose of polyvalent antivenom. This phenomenon could be due to envenomation caused by a snake, probably from Viperidae family, which is not covered by the polyvalent antivenom available in India.
authors.affiliation: MGM Muthoot Medical Centre, Ring Road, Pathanamthitta.
authors.forename: J
authors.initials: J
authors.lastname: Jacob
mesh_terms: D000328:Adult; D000818:Animals; D000997:Antivenins / Q000008:administration & dosage*; D001778:Blood Coagulation Disorders / Q000097:blood / Q000188:drug therapy* / Q000209:etiology*; D006801:Humans; D012909:Snake Bites / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome; D014757:Viper Venoms; D017819:Viperidae; D014914:Whole Blood Coagulation Time
chemical_list: D000997:Antivenins; D014757:Viper Venoms