PMID: 9660472Jul 11, 1998Paper

Excessive fibrinolysis: the coagulopathy following Merrem's hump-nosed viper (Hypnale hypnale) bites

The American Journal of Tropical Medicine and Hygiene
A P PremawardenaH J de Silva

Abstract

In 56 patients with proven hump-nosed viper (Hypnale hypnale) bites, 12 (21.4%) developed continued oozing of blood from the site of the bite and a prolonged clotting time. Further investigations showed low fibrinogen levels and increased fibrinogen degradation products in plamsa. The bleeding time, platelet count, prothrombin time, and partial thromboplastin time with kaolin were normal. The bite of this snake can be complicated with a coagulopathy in which excessive fibrinolysis seems to be the main abnormality.

Citations

Jan 18, 2006·Transactions of the Royal Society of Tropical Medicine and Hygiene·A PathmeswaranH J de Silva
Jul 15, 2006·Transactions of the Royal Society of Tropical Medicine and Hygiene·J K JosephD A Warrell
May 6, 2008·Transactions of the Royal Society of Tropical Medicine and Hygiene·C A AriaratnamD A Warrell
Sep 2, 2020·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Eranga S WijewickramaGeoffrey K Isbister
Jan 16, 2014·Indian Journal of Hematology & Blood Transfusion : an Official Journal of Indian Society of Hematology and Blood Transfusion·J Yudishdran MitrakrishnanSivakumar Jeyalakshmy
Feb 4, 2010·PLoS Neglected Tropical Diseases·Emilie AlirolFrançois Chappuis
Jul 25, 2013·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·K MaduwageG K Isbister
Sep 21, 2012·Thrombosis Journal·Vijayabala JeevaganChristeine Ariaranee Gnanathasan
Nov 5, 2020·Toxicon : Official Journal of the International Society on Toxinology·E W R A WitharanaR M J K Rajapaksha

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