title: A patient with snakebite presenting with thrombophlebitis-like appearance and DIC.
abstract: A snakebite is a serious and important problem in tropical and subtropical cities. A vast majority of snakebites are nonvenomous. However, venomous snakebites may cause local tissue destruction, neuroparalysis, systemic hemorrhage, generalized myotoxicity, and acute renal failure. A 10-year-old boy was brought to the emergency room with complaints of swelling, severe pain, and motionless left leg, developed as a result of a snakebite. After the extensive laboratory work-up, he was diagnosed with disseminated intravascular coagulation (DIC) and thrombophlebitis was ruled out. The antivenom treatment was administered and he improved dramatically within 3 days. A snakebite-induced DIC is a very rare complication and its presentation may mimic thrombophlebitis-like picture. A detailed and careful history taking will help to make an accurate diagnosis and, thus, an early proper management will be administered to rescue the patient's life.
authors.affiliation: Van Research and Training Hospital, Department of Dermatology, Van, Turkey. drhaticeuce@mynet.com
authors.forename: Hatice Uce
authors.initials: HU
authors.lastname: Ozkol
authors.forename: Ayse Serap
authors.initials: AS
authors.lastname: Karadag
authors.forename: Serap Gunes
authors.initials: SG
authors.lastname: Bilgili
authors.forename: Omer
authors.initials: O
authors.lastname: Calka
mesh_terms: D000997:Antivenins / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D012909:Snake Bites / Q000150:complications*; D013924:Thrombophlebitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000997:Antivenins