Open AccessAcute cerebral infarction following a Trimeresurus stejnegeri snakebite
Author(s) -
Xiangxia Zeng,
Jinlun Hu,
Xiao-Huan Liang,
Yixia Wu,
Mi Yan,
Menghuan Zhu,
Yue Fu
Publication year - 2019
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000015684
Subject(s) - medicine , infarction , cerebral infarction , magnetic resonance imaging , neuroprotection , modified rankin scale , weakness , anesthesia , cardiology , surgery , ischemia , radiology , ischemic stroke , myocardial infarction
Rationale: Acute cerebral infarction after snake bites is rare. The underlying mechanism causing the thrombotic process remains complex and unknown. Patient concerns: We herein describe a 49-year-old female who was bitten by a Trimeresurus stejnegeri . After 4 days of biting, she developed acute ischemic infarct. Diagnosis: The patient exhibited right side weakness and speech disturbances. Brain computed tomography (CT) scan showed no sign about cerebral hemorrhage symptoms, and brain magnetic resonance imaging (MRI) showed acute ischemic infarct in the left territory. The patient confirmed a diagnosis of acute cerebral infarction following a T. stejnegeri bite. Interventions: The patient received an injection of polyvalent anti-snake venom serum, neuroprotective therapy, and anti-platelet aggregate treatment. Outcomes: At the 3-month follow-up visit, the patient's left lower extremity swelling disappeared, the right limb muscle strength recovered, and the modified Rankin scale (mRS) score was 4 points. Lessons: The patient was diagnosed with acute ischemic infarct interrelated to snake bite; further investigations were needed to ascertain mechanism. The clinicians should pay more attention to identify potential victims of neurologic complications, to reduce the mortality rate of snake bite.