Antithrombin III and antivenom reversal of coagulopathy in rats envenomated with Malayan pit viper venom.

The therapeutic effects of antithrombin III (AT-III) and unrefined equine antivenom in the treatment of coagulopathy induced by Malayan pit viper (Calloselasma rhodostoma) venom were assessed in 42 adult Wistar rats. Following intramuscular venom injection (2 micrograms/g body weight), serial blood...

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Huvudupphovsmän: Pukrittayakamee, S, Clemens, R, Nontprasert, A, Desakorn, V, Charoenlarp, P, Chongsuphajaisiddhi, T, White, N
Materialtyp: Journal article
Språk:English
Publicerad: 1994
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author Pukrittayakamee, S
Clemens, R
Nontprasert, A
Desakorn, V
Charoenlarp, P
Chongsuphajaisiddhi, T
White, N
author_facet Pukrittayakamee, S
Clemens, R
Nontprasert, A
Desakorn, V
Charoenlarp, P
Chongsuphajaisiddhi, T
White, N
author_sort Pukrittayakamee, S
collection OXFORD
description The therapeutic effects of antithrombin III (AT-III) and unrefined equine antivenom in the treatment of coagulopathy induced by Malayan pit viper (Calloselasma rhodostoma) venom were assessed in 42 adult Wistar rats. Following intramuscular venom injection (2 micrograms/g body weight), serial blood samples were taken from the femoral vein for measurement of whole blood clotting time and AT-III activity. There was progressive depletion of AT-III and blood ceased to clot a mean (S.E.) of 164 (8.3) min after venom injection. Coagulopathy was reversed by a high dose antivenom (10 micrograms/g) or a lower dose of antivenom (5 micrograms/g) in combination with AT-III (> or = 0.1 U/g; P < 0.01) but not 5 micrograms/g antivenom or AT-III alone. Following successful treatment, the mean plasma AT-III activity remained above 90%. In this animal model, systemic envenomation by the Malayan pit viper causes uncoagulable blood associated with AT-III consumption. The dose of antivenom required to reverse this coagulopathy can be reduced by half by the addition of AT-III sufficient to maintain blood concentrations within the normal range.
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spelling oxford-uuid:bc8e4bd8-c79a-44ac-8947-47e8fa243e3d2022-03-27T05:25:10ZAntithrombin III and antivenom reversal of coagulopathy in rats envenomated with Malayan pit viper venom.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bc8e4bd8-c79a-44ac-8947-47e8fa243e3dEnglishSymplectic Elements at Oxford1994Pukrittayakamee, SClemens, RNontprasert, ADesakorn, VCharoenlarp, PChongsuphajaisiddhi, TWhite, NThe therapeutic effects of antithrombin III (AT-III) and unrefined equine antivenom in the treatment of coagulopathy induced by Malayan pit viper (Calloselasma rhodostoma) venom were assessed in 42 adult Wistar rats. Following intramuscular venom injection (2 micrograms/g body weight), serial blood samples were taken from the femoral vein for measurement of whole blood clotting time and AT-III activity. There was progressive depletion of AT-III and blood ceased to clot a mean (S.E.) of 164 (8.3) min after venom injection. Coagulopathy was reversed by a high dose antivenom (10 micrograms/g) or a lower dose of antivenom (5 micrograms/g) in combination with AT-III (> or = 0.1 U/g; P < 0.01) but not 5 micrograms/g antivenom or AT-III alone. Following successful treatment, the mean plasma AT-III activity remained above 90%. In this animal model, systemic envenomation by the Malayan pit viper causes uncoagulable blood associated with AT-III consumption. The dose of antivenom required to reverse this coagulopathy can be reduced by half by the addition of AT-III sufficient to maintain blood concentrations within the normal range.
spellingShingle Pukrittayakamee, S
Clemens, R
Nontprasert, A
Desakorn, V
Charoenlarp, P
Chongsuphajaisiddhi, T
White, N
Antithrombin III and antivenom reversal of coagulopathy in rats envenomated with Malayan pit viper venom.
title Antithrombin III and antivenom reversal of coagulopathy in rats envenomated with Malayan pit viper venom.
title_full Antithrombin III and antivenom reversal of coagulopathy in rats envenomated with Malayan pit viper venom.
title_fullStr Antithrombin III and antivenom reversal of coagulopathy in rats envenomated with Malayan pit viper venom.
title_full_unstemmed Antithrombin III and antivenom reversal of coagulopathy in rats envenomated with Malayan pit viper venom.
title_short Antithrombin III and antivenom reversal of coagulopathy in rats envenomated with Malayan pit viper venom.
title_sort antithrombin iii and antivenom reversal of coagulopathy in rats envenomated with malayan pit viper venom
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AT clemensr antithrombiniiiandantivenomreversalofcoagulopathyinratsenvenomatedwithmalayanpitvipervenom
AT nontpraserta antithrombiniiiandantivenomreversalofcoagulopathyinratsenvenomatedwithmalayanpitvipervenom
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