title: Pregnant Woman Bitten by a Japanese Mamushi (Gloydius blomhoffii).
abstract: We herein report the fourth case of a pregnant woman bitten by a mamushi. A 33-year-old pregnant woman in the 25th week of gestation was bitten by a mamushi. Her vital signs were stable; however, biochemical analyses of the blood showed mild deterioration of anemia and hypoproteinemia. The effects of envenomation were limited to the extremities, the administration of supportive therapy without antivenom fortunately resulted in a favorable outcome. As there are differences in the maternal medical condition and weeks of gestation, further research is needed to clarify the optimal management strategy for administering antivenom in pregnancy.
authors.affiliation: Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
authors.forename: Kouhei
authors.initials: K
authors.lastname: Ishikawa
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Ohsaka
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Omori
authors.forename: Mariko
authors.initials: M
authors.lastname: Obinata
authors.forename: Kentaro
authors.initials: K
authors.lastname: Mishima
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Oode
authors.forename: Youichi
authors.initials: Y
authors.lastname: Yanagawa
mesh_terms: D000328:Adult; D000740:Anemia / Q000188:drug therapy / Q000209:etiology* / Q000276:immunology; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D000997:Antivenins; D044182:Benzylisoquinolines / Q000008:administration & dosage; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D007019:Hypoproteinemia / Q000188:drug therapy / Q000209:etiology* / Q000276:immunology; D007564:Japan / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications; D012312:Ritodrine / Q000008:administration & dosage; D012909:Snake Bites / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D013745:Tetanus Toxoid / Q000008:administration & dosage; D015149:Tocolytic Agents / Q000008:administration & dosage; D016896:Treatment Outcome; D017819:Viperidae; D052117:Benzodioxoles
chemical_list: D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D000997:Antivenins; D044182:Benzylisoquinolines; D012312:Ritodrine; D013745:Tetanus Toxoid; D015149:Tocolytic Agents; C006947:cepharanthine; D052117:Benzodioxoles