Refractory compartment syndrome after antivenom administration for an Eastern Diamondback Rattlesnake bite requiring fasciotomy for limb salvage: A case report

Case: 56-year-old male who developed post-snakebite compartment syndrome (PSCS) of the upper extremity which was refractory to antivenom administration. He had elevated compartment pressure measurements in his upper extremity. He underwent open fasciotomy for the compartment syndrome, followed by de...

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Main Authors: Daniel R. Cavazos, Rebecca Schultz, Devan O. Higginbotham, Joshua Goethals, Rahul Vaidya
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644023001000
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author Daniel R. Cavazos
Rebecca Schultz
Devan O. Higginbotham
Joshua Goethals
Rahul Vaidya
author_facet Daniel R. Cavazos
Rebecca Schultz
Devan O. Higginbotham
Joshua Goethals
Rahul Vaidya
author_sort Daniel R. Cavazos
collection DOAJ
description Case: 56-year-old male who developed post-snakebite compartment syndrome (PSCS) of the upper extremity which was refractory to antivenom administration. He had elevated compartment pressure measurements in his upper extremity. He underwent open fasciotomy for the compartment syndrome, followed by delayed primary closure and skin grafting. He now has two years of follow-up with a functional upper extremity. Conclusion: This is a case of a patient who suffered post-snakebite compartment syndrome from his pet Eastern Diamondback Rattlesnake. This case highlights the importance of correctly diagnosing compartment syndrome and validates fasciotomy as a treatment measure for confirmed post-snakebite compartment syndrome (PSCS).
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spelling doaj.art-9179e98acb314fbd803047ecb051a7812023-06-16T05:10:09ZengElsevierTrauma Case Reports2352-64402023-08-0146100852Refractory compartment syndrome after antivenom administration for an Eastern Diamondback Rattlesnake bite requiring fasciotomy for limb salvage: A case reportDaniel R. Cavazos0Rebecca Schultz1Devan O. Higginbotham2Joshua Goethals3Rahul Vaidya4Detroit Medical Center, Detroit, MI, USA; Wayne State University School of Medicine, Detroit, MI, USA; Corresponding author at: 1605 Whitcomb Ave, Royal Oak, MI 48073, USA.Wayne State University School of Medicine, Detroit, MI, USADetroit Medical Center, Detroit, MI, USA; Wayne State University School of Medicine, Detroit, MI, USADetroit Medical Center, Detroit, MI, USADetroit Medical Center, Detroit, MI, USA; Wayne State University School of Medicine, Detroit, MI, USACase: 56-year-old male who developed post-snakebite compartment syndrome (PSCS) of the upper extremity which was refractory to antivenom administration. He had elevated compartment pressure measurements in his upper extremity. He underwent open fasciotomy for the compartment syndrome, followed by delayed primary closure and skin grafting. He now has two years of follow-up with a functional upper extremity. Conclusion: This is a case of a patient who suffered post-snakebite compartment syndrome from his pet Eastern Diamondback Rattlesnake. This case highlights the importance of correctly diagnosing compartment syndrome and validates fasciotomy as a treatment measure for confirmed post-snakebite compartment syndrome (PSCS).http://www.sciencedirect.com/science/article/pii/S2352644023001000Snake biteCompartment syndromeFasciotomyEnvenomationRattlesnakeAntivenom
spellingShingle Daniel R. Cavazos
Rebecca Schultz
Devan O. Higginbotham
Joshua Goethals
Rahul Vaidya
Refractory compartment syndrome after antivenom administration for an Eastern Diamondback Rattlesnake bite requiring fasciotomy for limb salvage: A case report
Trauma Case Reports
Snake bite
Compartment syndrome
Fasciotomy
Envenomation
Rattlesnake
Antivenom
title Refractory compartment syndrome after antivenom administration for an Eastern Diamondback Rattlesnake bite requiring fasciotomy for limb salvage: A case report
title_full Refractory compartment syndrome after antivenom administration for an Eastern Diamondback Rattlesnake bite requiring fasciotomy for limb salvage: A case report
title_fullStr Refractory compartment syndrome after antivenom administration for an Eastern Diamondback Rattlesnake bite requiring fasciotomy for limb salvage: A case report
title_full_unstemmed Refractory compartment syndrome after antivenom administration for an Eastern Diamondback Rattlesnake bite requiring fasciotomy for limb salvage: A case report
title_short Refractory compartment syndrome after antivenom administration for an Eastern Diamondback Rattlesnake bite requiring fasciotomy for limb salvage: A case report
title_sort refractory compartment syndrome after antivenom administration for an eastern diamondback rattlesnake bite requiring fasciotomy for limb salvage a case report
topic Snake bite
Compartment syndrome
Fasciotomy
Envenomation
Rattlesnake
Antivenom
url http://www.sciencedirect.com/science/article/pii/S2352644023001000
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