We read with great interest an article by Naveen et al.1 In the present case,we want to highlight an important aspect in the treatment of Russel's viper and saw-scaled viper.Viper venom contains serine proteases,m...We read with great interest an article by Naveen et al.1 In the present case,we want to highlight an important aspect in the treatment of Russel's viper and saw-scaled viper.Viper venom contains serine proteases,metalloproteinases,C-type lectins,and phospholipases.2 It has both procoagulant and anticoagulant effects on the body's blood clotting mechanism,typically resulting in disseminated intravascular coagulation.2 In the present case patient presented late(6 h)and was in defibrinationsyndrome,that is,bleeding from the bite site,and altered sensorium.展开更多
文摘We read with great interest an article by Naveen et al.1 In the present case,we want to highlight an important aspect in the treatment of Russel's viper and saw-scaled viper.Viper venom contains serine proteases,metalloproteinases,C-type lectins,and phospholipases.2 It has both procoagulant and anticoagulant effects on the body's blood clotting mechanism,typically resulting in disseminated intravascular coagulation.2 In the present case patient presented late(6 h)and was in defibrinationsyndrome,that is,bleeding from the bite site,and altered sensorium.
