@article{fdi:010079437,
  title = {{R}eport of a severe {H}eloderma suspectum envenomation},
  author = {{A}mri, {K}. and {C}hippaux, {J}ean-{P}hilippe},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {H}eloderma bites are rare and generally mild, but a few cases can be life threatening. {C}ase report {W}e report a case of {H}eloderma suspectum envenomation in a healthy 39-year-old herpetologist. {T}he patient rapidly developed tongue and lip swelling associated with stridor. {O}n arrival at {ICU}, he was hypotensive, and in shock with atrial fibrillation requiring electrical cardioversion. {B}lood tests showed hypokalemia (2 mmol center dot {L}-1), associated with moderate low blood electrolytes which were corrected rapidly. {I}n addition, he presented hematological abnormalities ({INR} = 1.34 and fibrinogen levels at 80 mg center dot d{L}(-1)) without active bleeding. {A}ll clinical and biological signs normalized without specific intervention and was discharged 4 days post-bite. {T}he patient discharged 3 days after hospital presentation and fully recovered in 2 months. {D}iscussion/conclusion {T}he case presented here showed the three severe complications described after {H}eloderma bite: a) angioedema, b) fluid loss associated with hypokalemia and metabolic acidosis, and c) cardiac disorders simulating ischemia.},
  keywords = {{V}enomous lizard ; envenomation ; {H}eloderma suspectum ; management ; angioedema},
  booktitle = {},
  journal = {{C}linical {T}oxicology},
  volume = {59},
  numero = {4},
  pages = {343--346},
  ISSN = {1556-3650},
  year = {2021},
  DOI = {10.1080/15563650.2020.1804574},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079437},
}