Severe systemic myotoxicity with massive rhabdomyolysis following Ovophis anitae envenomation: a case report.
Nguyen Dang Duc, Nguyen Trung Nguyen, Lam Nguyen Hong Khanh
✦ AI-curated · Sources linked
Case in brief
A 17-year-old male in Vietnam experienced a severe envenomation from an Ovophis anitae snake bite, leading to extensive local tissue injury and massive rhabdomyolysis. He presented with significant metabolic acidosis and respiratory failure, requiring mechanical ventilation. Despite the absence of species-specific antivenom, he received intensive supportive care, including therapeutic plasma exchange, and made a complete recovery by hospital day 9.
What made this case unusual
This case highlights the potential for life-threatening systemic toxicity from Ovophis anitae envenomation, which is not well-documented in existing literature, contrasting with previously reported mild manifestations.
Diagnostic / clinical pearl
Clinicians should be aware that Ovophis anitae envenomation can lead to severe systemic myotoxicity and respiratory failure, necessitating aggressive supportive care even in the absence of specific antivenom.
Why it matters
Understanding the severe manifestations of Ovophis anitae envenomation is crucial for timely recognition and management, as it expands the clinical knowledge surrounding this rare snake species.