| microangiopathic hemolytic anemia following three different species of hump-nosed pit viper (genus: hypnale) envenoming in sri lanka. | there are 3 species of hump-nosed pit vipers in sri lanka: hypnale hypnale, hypnale zara, and hypnale nepa. the latter 2 are endemic to the country. microangiopathic hemolytic anemia (maha) is a known complication of hump-nosed pit viper bites. it was previously documented as a complication of general viper bites and not species specific. we report a series of 3 patients who developed maha after being bitten by each species of hump-nosed pit viper. the first patient was bitten by h hypnale and d ... | 2018 | 29361387 |
| epidemiology and clinical effects of hump-nosed pit viper (genus: hypnale) envenoming in sri lanka. | hump-nosed pit vipers of genus hypnale are the commonest cause of snake bite in sri lanka. although there are many reports of local effects, coagulopathy and acute kidney injury, it remains unclear how frequent these clinical effects are and therefore the medical importance of this snake genus. the genus has been recently revised to include hypnale hypnale from sri lanka and western ghats of southern india, and the two endemic species to sri lanka, hypnale zara and hypnale nepa. this was a prosp ... | 2013 | 23127899 |
| coagulopthy, acute kidney injury and death following hypnale zara envenoming: the first case report from sri lanka. | snakebite is a major medical problem in developing asia. hump-nosed pit viper (genus hypnale) causes the most number of snakebites with significant morbidity and mortality in sri lanka. even though there are three species (hypnale hypnale, hypnale zara and hypnale nepa) in sri lanka there are few published literature on species-specific clinico-epidemiological data. this report describes an authenticated fatal case of a 47 years old male due to coagulopthy and acute kidney injury following enven ... | 2011 | 21967813 |
| hump-nosed pit viper (hypnale hypnale and hypnale zara) envenoming in deniyaya, sri lanka: epidemiological and clinical features from a prospective observational study. | hypnale hypnale, hypnale zara and hypnale nepa are the three species of hump nosed pit vipers that are implicated in human bites in sri lanka. h. zara and h. nepa are two endemic species to the country. the objective of the study was to characterize epidemiology and clinical features after different hump nosed pit viper species bites. a prospective observational study was conducted in base hospital deniyaya from 2013 to 2015. hump nosed pit viper as the offending snake was identified when the vi ... | 2020 | 33144122 |
| venom-induced consumption coagulopathy following hump-nosed pit viper (genus: hypnale) envenoming in sri lanka: uncertain efficacy of fresh frozen plasma. | hump-nosed pit vipers (hypnale spp) cause the highest number of venomous snakebites in sri lanka. bites commonly cause local envenoming leading to local pain, swelling, and necrosis of the site of the bite. acute kidney injury is the most common systemic manifestation, and some patients develop venom-induced consumption coagulopathy (vicc). genus hypnale comprises 3 species. of them, h hypnale is found in sri lanka and the western ghats region of india. the other 2 (h nepa and h zara) are endemi ... | 2020 | 32336579 |