Rajib Paul, Brajesh Kumar Jha, Vikram Kumar Shetty
Viper snake bites are known to cause local complications like necrosis and cellulitis and systemic complications such as coagulopathy, acute renal failure (ARF), and haemolysis. We report a case of 32-year young male patient who was bitten by a viper. He developed cellulitis, sepsis, acute renal failure, and disseminated intravascular coagulation (DIC). Patient also developed acute respiratory distress syndrome (ARDS) probably due to the direct toxic effect of venom on pulmonary vascular endothelium. He was treated with standard care of treatment along with a novel extracorporeal cytokine adsorption device Cytosorb® as an adjunct therapy. After Cytosorb® treatment, all his renal, haematological and respiratory parameters returned to normal. The post-Cytosorb® APACHE II and SOFA score was reduced to 11 and 8 from a baseline value of 29 and 15 respectively.
