Massive acute ischemic stroke after Bothrops spp. envenomation in southwestern Colombia: Case report and literature review

We present here the case of a 50-year-old male with no comorbidities referred from a rural area in southwest Colombia with a Bothrops spp. snakebite on the left hand. On admission, the patient presented with a deterioration of consciousness and required mechanical ventilation assistance. The MRI showed multiple ischemic areas in the bilateral frontaltemporal and occipital regions. Two months later, the patient had a favorable resolution, although central paresis in the III and VI cranial nerves and positive Babinski's sign persisted. As already mentioned, the pathophysiology of ischemic stroke due to snakebite is complex but the procoagulant activity of the venom components, the hypovolemic shock, the endothelial damage, and the thromboinflammation can explain it, and although it rarely occurs, it should be considered as a complication of ophidian accidents caused by Bothrops spp.PMID:35471166 | PMC:PMC9045098 | DOI:10.7705/biomedica.6114
Source: Biomedica : Revista del Instituto Nacional de Salud - Category: International Medicine & Public Health Authors: Source Type: research