TITLE:
Intracerebral Hemorrhage Secondary to Envenomation by Viper Bite: Case Report and Review of the Literature
AUTHORS:
Adil Belhachmi, Fernand Nathan Imoumby, Napoleao Imbunhe, Yao Christian Hugues Dokponou, Suzanne Rita Aubin Igombe, Miloudi Gazzaz
KEYWORDS:
Hematoma, Intracerebral, Envenomation, Viper
JOURNAL NAME:
Open Access Library Journal,
Vol.8 No.6,
June
23,
2021
ABSTRACT: The envenomations by viper bites are frequent and constitute the prerogative of rural areas in Morocco, as in the tropical countries of Asia, the Maghreb, and sub-Saharan Africa. Children are often more affected than adults, with morbidity and mortality which makes it a major public health problem. The physiopathological mechanisms associated with it are complex, resulting in a wide variety of clinical presentations among which coagulation disorders are prominent, involving all devices either individually or in the context of systemic involvement (Intravascular coagulation disseminated). We report the case of a 62-year-old patient, with no pathological history, victim of envenomation by the bite of a viper, quickly taken to the emergency room and immediately taken care of, who secondarily presented a sudden worsening of his neurological state related to an intracerebral hemorrhage documented by the brain CT-Scan, in a context of disseminated intravascular coagulation. Despite the speed and quality of the treatment, the patient died within 24 hours.