Table 1.
Demographics | Clinical symptoms and findings | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Sex | Age, years | Pain | Cardiovascular system | Respiratory symptoms | Other reported symptoms | CPK | CRP | Level of white blood cells | Other | Treatment |
Male | 24 | Acute abdominal pain | ECG: incomplete right bundle branch block | Tachypnea, pulmonary edema | Sweating, salivation, priapism | Elevated | Elevated | Elevated | Elevated troponine (1.6 ng/mL) | Antivenin |
Male | 66 | Severe pain in the legs at the bite point, acute abdomen (pain, flatulence) | Increased systolic pressure (200 mm Hg), signs of cardiac downturn were present without the final manifestation | Dyspnea | Slightly elevated | Elevated | Elevated (20,000/μL) | Impaired renal function (creatinine 1.4–1.6) | Oxygen (venturi mask 30%), diuretic and morphine, antivenin | |
Male | 64 | Severe pain at the dorsal surface of the right foot at the bite area, back pain | Mild tachypnea | Sweating | Pethidine | |||||
Female | 70 | Generalized muscle pain to back, chest, and abdomen | Mild hypertension (155/90 mm Hg) | Metabolic acidosis (pH: 7.23) | Opioid analgesics | |||||
Male | 49 | Intense pain at the area of bite (inner surface of the arm), extension of pain to the chest and abdomen | Increased blood pressure (180 mm Hg) | Local swelling at the bite area | Elevated (1423 U/L) | Mild leukocytosis | Oxygen, opioid analgesics, calcium and beta-adrenergic blockers, antivenin | |||
Female | 4 | Intense pain at the area of bite | Local swelling at the bite area | Mild leukocytosis | Oxygen, opioid analgesics | |||||
Male | 21 | Severe pain in the legs, thoracic pain | Myocarditisaugmentation in T-wave amplitude in leads V3 through V6 without reciprocal changes | General anxiety | Mild leukocytosis | Elevated cardiac enzymes troponin (1.1 ng/mL) | Oxygen, opioid analgesics, antivenin |
CPK = creatinine phosphokinase; CRP = C-reactive protein; ECG = electrocardiogram.