Scrotal necrosis after cobra (Naja annulifera) envenomation

A 47-year-old man received a snouted cobra (Naja annulifera) snake bite to his genitals while on holiday in South Africa. His penis and scrotum were noted to be swollen, deep purple in color, and painful on hospital admission. Scrotal necrosis was diagnosed, and he received multiple doses of a non-s...

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Main Authors: G.H. Dijkema, J.J. Pat, M.G. Steffens
Format: Article
Language:English
Published: Elsevier 2021-11-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442021002849
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author G.H. Dijkema
J.J. Pat
M.G. Steffens
author_facet G.H. Dijkema
J.J. Pat
M.G. Steffens
author_sort G.H. Dijkema
collection DOAJ
description A 47-year-old man received a snouted cobra (Naja annulifera) snake bite to his genitals while on holiday in South Africa. His penis and scrotum were noted to be swollen, deep purple in color, and painful on hospital admission. Scrotal necrosis was diagnosed, and he received multiple doses of a non-specific snake venom antiserum and broad-spectrum antibiotics. Although no neurological sequelae developed, he did require hemodialysis due to acute kidney injury. After stabilizing, he was repatriated to the Netherlands for further treatment and has since made a full recovery.
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spelling doaj.art-f75c0220db4c4fb79f6ec624f4b2fc182022-12-21T21:26:13ZengElsevierUrology Case Reports2214-44202021-11-0139101844Scrotal necrosis after cobra (Naja annulifera) envenomationG.H. Dijkema0J.J. Pat1M.G. Steffens2Department of Urology, Rijnstate Ziekenhuis, Arnhem, the NetherlandsDepartment of Urology, Isala klinieken, Zwolle, the Netherlands; Corresponding author. Dokter van Heesweg 2, 8025AB, Zwolle, the Netherlands.Department of Urology, Isala klinieken, Zwolle, the NetherlandsA 47-year-old man received a snouted cobra (Naja annulifera) snake bite to his genitals while on holiday in South Africa. His penis and scrotum were noted to be swollen, deep purple in color, and painful on hospital admission. Scrotal necrosis was diagnosed, and he received multiple doses of a non-specific snake venom antiserum and broad-spectrum antibiotics. Although no neurological sequelae developed, he did require hemodialysis due to acute kidney injury. After stabilizing, he was repatriated to the Netherlands for further treatment and has since made a full recovery.http://www.sciencedirect.com/science/article/pii/S2214442021002849ScrotumPenisSnouted cobraEnvenomation
spellingShingle G.H. Dijkema
J.J. Pat
M.G. Steffens
Scrotal necrosis after cobra (Naja annulifera) envenomation
Urology Case Reports
Scrotum
Penis
Snouted cobra
Envenomation
title Scrotal necrosis after cobra (Naja annulifera) envenomation
title_full Scrotal necrosis after cobra (Naja annulifera) envenomation
title_fullStr Scrotal necrosis after cobra (Naja annulifera) envenomation
title_full_unstemmed Scrotal necrosis after cobra (Naja annulifera) envenomation
title_short Scrotal necrosis after cobra (Naja annulifera) envenomation
title_sort scrotal necrosis after cobra naja annulifera envenomation
topic Scrotum
Penis
Snouted cobra
Envenomation
url http://www.sciencedirect.com/science/article/pii/S2214442021002849
work_keys_str_mv AT ghdijkema scrotalnecrosisaftercobranajaannuliferaenvenomation
AT jjpat scrotalnecrosisaftercobranajaannuliferaenvenomation
AT mgsteffens scrotalnecrosisaftercobranajaannuliferaenvenomation