ARDS secondary to Tiger snake bite

Discussion:

The patient was treated for ARDS and made a slow recovery, spending 10 days in ICU. This was despite antivenom which was given in the emergency department 1 hour after the bite.

Tiger snake envenomation can cause 1:

  • consumptive coagulopathy (VICC, venom-induced consumptive coagulopathy) which is the most common effect
  • myotoxicity
  • neurotoxicity

ARDS in this case is probably multifactorial due to all these effects (at least this is what was hypothesized by the ICU physicians and toxicologists).

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