I'm Dr. Joshua Schwimmer, a nephrologist and internal medicine physician in New York City. • Kidney Notes was the first active nephrology blog. (Trivia: Kidney Notes is so old that the National Library of Medicine still uses it as an example of how to formally cite blogs.) • Professionally, you can find me at Kidney.nyc. • Kidney Notes is for educational purposes only, not medical advice. Consult qualified health care professionals. See disclaimer.

Saturday, March 18, 2006

Creative Suicide Attempts: Intravenous Injection of Rattlesnake Venom

From The Southern Medical Journal - Volume 99(3) March 2006 p 282-284 Suicide Attempt by the Intravenous Injection of Rattlesnake Venom:
A 14-year-old male milked the venom from a rattlesnake and injected it with a syringe into his right antecubital vein in a suicide attempt. He immediately developed severe pain and vomiting, then hypotension, swollen lips and tongue, and coma. The injection site did not have the considerable tissue damage seen with severe rattlesnake envenomation. Critical hematological abnormalities, gastrointestinal bleeding, and hematuria developed over 24 hours. He received crotalidae polyvalent immune fab (ovine) antivenom and was discharged after 5 days without sequela. This patient's clinical findings were similar to those seen in patients bitten by rattlesnakes with rare intravenous envenomation.
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