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{
    "pk": 1180,
    "title": "Delayed Recognition of Severe Systemic Envenomation after Copperhead Bite: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n We report a case of severe systemic copperhead, Agkistrodon contortrix, envenomation that resulted in long-term sequelae.\nCase Report:\n A 72-year-old man presented to the emergency department after suffering a copperhead snakebite. He developed severe systemic toxicity before local tissue injury developed. Clinicians did not initially recognize his envenomation syndrome and sought alternative explanations for his systemic symptoms before polyvalent immune fab (ovine) antivenom was administered. Although the patient improved, he was discharged with new stage three chronic kidney disease.\nConclusion:\n Although rare, copperhead envenomation can cause severe systemic toxicity. Envenomation should be promptly treated with antivenom.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "snakebite"
        },
        {
            "word": "copperhead"
        },
        {
            "word": "Agkistrodon contortrix"
        },
        {
            "word": "antivenin"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/35d726b2",
    "frozenauthors": [
        {
            "first_name": "Patrick",
            "middle_name": "E.",
            "last_name": "Kelly",
            "name_suffix": "",
            "institution": "Duke University Hospital, Department of Surgery, Durham, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Charles",
            "middle_name": "J.",
            "last_name": "Gerardo",
            "name_suffix": "",
            "institution": "Duke University Hospital, Department of Surgery, Durham, North Carolina",
            "department": "None"
        }
    ],
    "date_submitted": "2022-08-08T20:45:37+03:00",
    "date_accepted": "2022-08-08T20:45:37+03:00",
    "date_published": "2022-08-08T20:46:26+03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1180/galley/919/download/"
        }
    ]
}