Trimeresurus stejnegeri envenoming during pregnancy.
Snake envenoming in pregnancy may cause fetal death and maternal mortality or morbidity. However, little is known about the toxic effects and optimal management of snake envenoming because of the rarity of cases. We report three cases in Taiwan in the past 15 years of pregnant women who were treated successfully after being bitten by Trimeresurus stejnegeri with local envenoming. Two of the three patients received treatment with equine-derived hemotoxic bivalent F(ab')(2) antivenom without development of any adverse effects. All three women recovered uneventfully and subsequently had normal deliveries. Telephone follow-up of the three children 6-10 years later showed no developmental delay of the children.
Chen
Yen-Chia
YC
Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China.
Chen
Min-Hui
MH
Yang
Chen-Chang
CC
Chen
Yen-Wen
YW
Wang
Lee-Min
LM
Huang
Chun-I
CI
D000328:Adult; D000818:Animals; D000997:Antivenins / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D012909:Snake Bites / Q000150:complications* / Q000188:drug therapy*; D017841:Trimeresurus
D000997:Antivenins