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J Korean Soc Emerg Med > Volume 15(5); 2004 > Article
Journal of The Korean Society of Emergency Medicine 2004;15(5): 420-425.
Cerebral Infarction Following Snakebite
Hyung Min Lee, Hoon Pyo Hong, Dong Pil Kim, Myung Chun Kim, Young Gwan Ko
Department of Emergency Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. edkmc@chol.com
ABSTRACT
There are only three species of poisonous snakes in Korea. Deaths from poisonous snakebites are rare in Korea, but the World Health Organization estimates that as many as 30,000 to 40,000 death occur following venomous snakebites. The most important factor for determining a prognosis for a victim of a venomous snakebite is the grade of envenomation, because the grade of envenomation is highly correlated with severe complications such as disseminated intravascular coagulopathy, a bleeding tendency, acute renal failure, pulmonary edema, and sepsis. Also, bleeding complications with the central nervous system are well known to occur following a snakebite. However, non hemorrhagic manifestations, such as ischemic stroke, are extremely rare. We report the case of 72-year-old male who suffered a cerebral infarction following a snakebite. We also present a review of the literature of possible mechanisms for the cerebral infarction.
Key words: Snake bite, Complications
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