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Leukemoid Reaction in Patients with Echis carinatus Bite:A Two-Case Report


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1 Department of Medicine, Dr. SNMC, Jodhpur-342001, Rajasthan, India
     

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Snake bite is a major environmental hazard in the rural areas. Venom induced coagulopathy is a significant cause of both morbidity and mortality in these patients. Leukemoid reaction is a rare phenomenon after snake bite. Here we report two cases who developed venom induced coagulopathy and leukemoid reaction after viperine bite. These patients treated with anti snake venom, and completely recovered after 14 days. To the best of our knowledge, these are the first two cases report to do so.

Keywords

Echis carinatus, Hemolysis, Leukemoid Reaction.
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  • Warrell DA, Davidson NMD, Greenwood BM, Ormerod LD, Pope HM, Watkins BJ, Prentice CR. Poisoning by bites of the saw-scaled or carpet viper (Echis carinatus) in Nigeria. Q J Med. 1977; 46 (181): 33–62.
  • Ahn JH, Yoo DG, Choi SJ, LeeJH, Park MS, Kwak JH, et al. Hemoperitoneum caused by hepatic necrosis and rupture following a snake bite. Korean J Radiol. 2007; 8:556–60.
  • Huang W, Wang F, Li Y, Duan F, Yu Z. Leukemoid reaction in sarcomatoid renal cell carcinoma: a two-case report. World J Surg Oncol. 2014; 12:100.
  • Hoffman R, Furie B, Benz EJ, McGlave P, Silberstein LE, Shattil SJ: Hematology: basic principles and practice. Volume 702. 5th edition. Philadelphia: Churchill Livingstone; 2009.
  • Sakka V, Tsiodras S, Giamarellos-Bourboulis EJ, Giamarellou H. An update on the etiology and diagnostic evaluation of a leukemoid reaction. Eur J Intern Med. 2006; 17:394–98.
  • Sato K, Terada K, Sugiyama T, Sugiyama T, Masuda H, Kakinuma H et al. Granulocyte colony stimulating factor produced by bladder carcinoma of a patient with leukemoid reaction did not affect proliferation of the tumor cells. J Urol. 1994; 151:1687–90.
  • Melhem MF, Meisler AI, Saito R, Finley GG, Hockman HR, Koski RA. Cytokines in inflammatory malignant fibrous histiocytoma presenting with leukemoid reaction. Blood. 1993; 82:2038–44.
  • Dacie JV. The Haemolytic Anemias. Part ІІ New York, Grune and Stratton. 1962; 360.

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  • Leukemoid Reaction in Patients with Echis carinatus Bite:A Two-Case Report

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Authors

Pahadiya Hans Raj
Department of Medicine, Dr. SNMC, Jodhpur-342001, Rajasthan, India
Lakhotia Manoj
Department of Medicine, Dr. SNMC, Jodhpur-342001, Rajasthan, India
Singh Jagdish
Department of Medicine, Dr. SNMC, Jodhpur-342001, Rajasthan, India
Choudhary Sukhdev
Department of Medicine, Dr. SNMC, Jodhpur-342001, Rajasthan, India
Prajapati Gopal Raj
Department of Medicine, Dr. SNMC, Jodhpur-342001, Rajasthan, India

Abstract


Snake bite is a major environmental hazard in the rural areas. Venom induced coagulopathy is a significant cause of both morbidity and mortality in these patients. Leukemoid reaction is a rare phenomenon after snake bite. Here we report two cases who developed venom induced coagulopathy and leukemoid reaction after viperine bite. These patients treated with anti snake venom, and completely recovered after 14 days. To the best of our knowledge, these are the first two cases report to do so.

Keywords


Echis carinatus, Hemolysis, Leukemoid Reaction.

References





DOI: https://doi.org/10.22506/ti%2F2015%2Fv22%2Fi2%2F137673