title: Snake (Vipera berus) bite: The cause of severe anaphylactic shock and hepatocellular injury.
abstract: Vipera berus bites lead to a variety of clinical manifestations. Local swelling, coagulopathy, nephrotoxicity, cardiac effects and myotoxicity are known to be associated with envenoming by a viper bite. Although a variety of clinical manifestations have been reported in viper bite cases, anaphylactic reactions and liver injury events have not been described. We report a unique case of an anaphylaxis and transitional liver cell injury due to a Vipera berus bite in the case of a 58-year-old man with no past history suggestive of allergy and liver disease. These observations need to be further explored with laboratory studies to identify the venom components which could have pre-disposed the patient to the development of these complications.
authors: Department of Allergology, Clinical Immunology and Internal Diseases Collegium Medicum Bydgoszcz, Nicolaus Copernicus University in Toruń, Collegium Medicum of L Rydygier, Bydgoszcz, Poland palgank@wp.pl.
authors: K
authors: K
authors: Pałgan
authors: Department of Allergology, Clinical Immunology and Internal Diseases Collegium Medicum Bydgoszcz, Nicolaus Copernicus University in Toruń, Collegium Medicum of L Rydygier, Bydgoszcz, Poland.
authors: A
authors: A
authors: Kuźmiński
authors: Department of Allergology, Clinical Immunology and Internal Diseases Collegium Medicum Bydgoszcz, Nicolaus Copernicus University in Toruń, Collegium Medicum of L Rydygier, Bydgoszcz, Poland.
authors: A
authors: A
authors: Janik
authors: Department of Allergology, Clinical Immunology and Internal Diseases Collegium Medicum Bydgoszcz, Nicolaus Copernicus University in Toruń, Collegium Medicum of L Rydygier, Bydgoszcz, Poland.
authors: M
authors: M
authors: Gotz-Żbikowska
authors: Department of Allergology, Clinical Immunology and Internal Diseases Collegium Medicum Bydgoszcz, Nicolaus Copernicus University in Toruń, Collegium Medicum of L Rydygier, Bydgoszcz, Poland.
authors: Z
authors: Z
authors: Bartuzi
mesh_terms: D000707:Anaphylaxis / Q000209:etiology*; D000818:Animals; D006801:Humans; D008107:Liver Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012909:Snake Bites / Q000150:complications*; D017819:Viperidae
keywords: Vipera berus; anaphylaxis; liver injury