2009
DOI: 10.1016/j.toxicon.2009.01.039
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Experimental pathophysiology of systemic alterations induced by Bothrops asper snake venom

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Cited by 140 publications
(110 citation statements)
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References 79 publications
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“…These local manifestations may lead to permanent sequelae, such as tissue loss and dysfunction (Dart et al, 1992;Otero et al, 2002). After systemic venom distribution, and depending on the severity of the case, viperid snakebite envenomings are characterized by coagulopathies, bleeding, renal alterations and hemodynamic manifestations which may lead to cardiovascular shock and multisystem organ failure (Gutiérrez et al, 2009b;Warrell, 2004). Intravascular hemolysis might also occur, in some cases associated with microthrombi formation (Warrell, 1996).…”
Section: Clinical Manifestations Of Envenomingmentioning
confidence: 99%
“…These local manifestations may lead to permanent sequelae, such as tissue loss and dysfunction (Dart et al, 1992;Otero et al, 2002). After systemic venom distribution, and depending on the severity of the case, viperid snakebite envenomings are characterized by coagulopathies, bleeding, renal alterations and hemodynamic manifestations which may lead to cardiovascular shock and multisystem organ failure (Gutiérrez et al, 2009b;Warrell, 2004). Intravascular hemolysis might also occur, in some cases associated with microthrombi formation (Warrell, 1996).…”
Section: Clinical Manifestations Of Envenomingmentioning
confidence: 99%
“…15 A recent review of the systemic alterations induced by the venom of Bothrops asper suggested that the complex toxicity of venom components goes beyond their effects on the coagulation cascade and the number and function of platelets, at least in animal models. 16 Other toxic effects of the venom include an increase in vascular permeability, an induction of abnormal release of tumor necrosis factor and cytokines, and most importantly, a systemic endothelial dysfunction. The latter may be the pathophysiological substrate to explain the development of posterior reversible encephalopathy in our patient, because he never developed systemic hypertension or hypovolemic shock, which would explain a primary loss of autoregulation of cerebral blood vessels.…”
Section: Commentmentioning
confidence: 99%
“…Experimental studies made with Bothrops venom suggest a multifactorial pathogenesis for ARF which includes a variety of mechanisms [2]. In order to elucidate the mechanism of direct nephrotoxicity the aim of the present work was to investigate the effect of B. pauloensis venom (BpV) on renal epithelial cells.…”
Section: Introductionmentioning
confidence: 99%