Free Content Envenoming after carpet viper (Echis ocellatus) bite during pregnancy: timely use of effective antivenom improves maternal and foetal outcomes

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Abstract:

Summary The report describes successful management of 10 women in 2nd and 3rd pregnancy trimesters with EchiTab IgG antivenom after carpet viper () envenoming. All women survived but foetal loss in a victim with delayed presentation and a case of mild hypersensitivity reaction were recorded. Excellent outcomes can be achieved in rural and semi-nomadic populations without specialized care and immediate access and provision of effective antivenoms is paramount in curtailing snakebite maternal morbidity, mortality and foetal loss.

French
Ce rapport décrit la prise en charge avec succès de 10 femmes au cours du 2ème et 3ème trimestres de la grossesse au moyen d’IgG antivenimeux (EchiTab) suite à une morsure de vipère (Echis ocellatus). Toutes les femmes ont survécu mais la perte du fœtus chez une victime présentée tardivement et un cas de réaction d’hypersensibilité modérée ont été enregistrés. D’excellents résultats peuvent être obtenus dans les régions rurales et les populations semi-nomades sans soins spécialisés. Un accès immédiat et la provision d’antivenimeux efficaces est primordiale pour réduire la morbidité et mortalité maternelle ainsi que la perte fœtale en cas de morsure de serpent.

Keywords: Antidoto; antivenimeux; antivenom; carpet viper; embarazo; foetal loss; grossesse; maternal mobidity; morbidité maternelle; morbilidad materna; nomades; nomads; nómadas; perte fœtale; pregnancy; pérdida fetal; vipère; víbora alfombra

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1365-3156.2008.02122.x

Affiliations: 1:  Department of Medicine, Bayero University Kano, Aminu Kano Teaching Hospital, Kano, Nigeria 2:  Kaltungo General Hospital, Kaltungo, Nigeria 3:  Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria 4:  EchiTab Study Group, Federal Ministry of Health, Abuja, Nigeria 5:  Liverpool School of Tropical Medicine & Hygiene, Liverpool, UK 6:  Centre for Tropical Medicine, University of Oxford, Oxford, UK

Publication date: September 1, 2008

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