Syncope, Massive Aspiration, and Sudden Death Following Rattlesnake Bite

Abstract Fatalities following rattlesnake bite are rare in the United States, usually occur some hours following the bite, and are generally secondary to direct venom effects. We report a patient with acute syncope and subsequent massive aspiration resulting in airway obstruction and rapid death following a probable Northern Pacific rattlesnake (Crotalus oreganus oreganus) bite.

[1]  F. Russell Prevention and treatment of venomous animal injuries , 2005, Experientia.

[2]  Douglas Borys,et al.  2003 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. , 2004, The American journal of emergency medicine.

[3]  R. Geller,et al.  Reptile Envenomation 20-year Mortality as Reported by US Medical Examiners , 2004, Southern medical journal.

[4]  S. Offerman,et al.  Anaphylaxis after Rattlesnake bite. , 2004, Annals of emergency medicine.

[5]  R. Zumwalt,et al.  Utilization of Serum Tryptase and Immunoglobulin E Assay in the Postmortem Diagnosis of Anaphylaxis , 2004, The American journal of forensic medicine and pathology.

[6]  R. Whitley Conservative treatment of copperhead snakebites without antivenin. , 1996, The Journal of trauma.

[7]  J. Butts,et al.  Elevated postmortem tryptase in the absence of anaphylaxis. , 1995, Journal of forensic sciences.

[8]  T. Litovitz,et al.  1992 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. , 1993, The American journal of emergency medicine.

[9]  D. L. Hardy Fatal rattlesnake envenomation in Arizona: 1969-1984. , 1986, Journal of toxicology. Clinical toxicology.

[10]  D. Warrell,et al.  BITES BY RUSSELL'S VIPER (VIPERA RUSSELLI SIAMENSIS) IN BURMA: HAEMOSTATIC, VASCULAR, AND RENAL DISTURBANCES AND RESPONSE TO TREATMENT , 1985, The Lancet.

[11]  E. Stahel,et al.  ANAPHYLACTOID REACTIONS TO SNAKEBITE , 1985, The Lancet.

[12]  O. Debontridder DYSTONIC REACTIONS AFTER DOMPERIDONE , 1980, The Lancet.

[13]  A. M. Rothschild,et al.  Liberation of Pharmacologically Active Substances by Snake Venoms , 1979 .

[14]  H. Parrish Incidence of treated snakebites in the United States. , 1966, Public health reports.

[15]  M. S. Briscoe,et al.  Rattlesnakes, Their Habits, Life Histories, And Influence On Mankind , 1957 .