Table 2.
Mamushi | Habu | Yamakagashi | |
---|---|---|---|
Typical symptoms | Local pain, swelling, severely decreased platelet counta, diplopia, blurred vision, nauseab, vomitingb, stomachacheb, diarrheab, cyanosisb | Local swelling, necrosis, bleeding at the bite site, vomitingb, cyanosisb, loss of consciousnessb, hypotensionb, compartment syndrome | Nasal bleeding, gum bleeding, bleeding from the bite site, headacheb |
Laboratory data to be evaluated routinely | CBC, CK, BUN, Cre, Na, K, Cl, Fibrinogen, FDP, d-dimer, PT, APTT | ||
Typical laboratory findings | CK↑ | FDP >100 μg/mL | |
Plt <10,000/μLa | Fibrinogen <100 mg/dL | ||
Laboratory data to be evaluated additionally | Myoglobin, CK-MB | Myoglobin | AT-III, TAT, PIC |
CBC complete blood count, Plt platelet count, CK creatine kinase, BUN blood urea nitrogen, Cre creatinine, FDP fibrinogen degradation products, PT prothrombin time, APTT activated partial thromboplastin time AT-III antithrombin III, TAT thrombin-antithrombin III complex, PIC plasmin-α2-plasmin inhibitor complex.
aVenom is injected into the blood vessel directly.
bIn severe cases.