Published February 6, 2025 | Version v1

MULTIDISCIPLINARY MANAGEMENT OF A VIPER BITE COMPLICATED BY COMPARTMENT SYNDROME AND DISSEMINATED INTRAVASCULAR COAGULATION

  • 1. Traumatology Department, Mohammed V Military Teaching Hospital, Rabat, Morocco.
  • 2. Nephrology Department, Mohammed V Military Teaching Hospital, Rabat, Morocco.
  • 3. Surjical Intensive Care Unit, Department of Anesthesia and Critical Care, Mohammed V Military Teaching Hospital, Rabat, Morocco.

Description

Viper bites represent a critical medical emergency, particularly in rural areas or military contexts where rapid access to care may be limited. These envenomations can lead to severe and potentially fatal complications, including local effects (tissue necrosis, compartment syndrome) and systemic effects (disseminated intravascular coagulation (DIC), acute kidney injury (AKI), and shock). This article reports the case of a 29-year-old man who sustained a viper bite on his right hand. The envenomation rapidly progressed to compartment syndrome, severe DIC, and AKI, necessitating intensive multidisciplinary management. Prompt administration of antivenom, followed by urgent surgical interventions (fasciotomy and necrosectomies) and intensive management of hematological and renal complications, resulted in a favorable outcome. This case highlights the importance of a rapid and coordinated approach in the treatment of severe envenomations.

 

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