Epididymitis in Snakebite: A Rare Case Report in a 16-year-old Patient

Document Type : Case Report

Authors

1 Forensic Medicine and Poisoning Specialist, Assistant Professor, Department of Internal Medicine, Bou Ali Sina Hospital, Faculty of Medicine, Qazvin University of Medical Sciences, Qzvin, Iran

2 Infectious Diseases Specialist, Department of Infectious Diseases, Bou Ali Sina Hospital, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.

10.61186/jsmj.2023.394378.3101

Abstract

Snakebite is considered a major health threat in Iran, mostly caused by pit vipers
(Crotalidae species). A bite by a viper snake causes the release of plasma and blood to
the tissue around the bite inflammation and tissue damage. The occurrence of
epididymitis in the absence of a bite in the scrotal area is an unusual phenomenon. In
this case report study, we reported epididymitis in a 16-year-old patient who was
bitten by a viper on the right leg. This patient initially experienced local bleeding,
reversible coagulopathy (thrombocytopenia and increased prothrombin time and
international normalized ratio), leukocytosis, and neutrophilia. Due to the occurrence
of a new organic complication, re-administration of five vials of snake antidote
polyvalent serum along with corticosteroid, pain reliever, and antihistamine alleviated
epididymitis and the patient was discharged consequently with full recovery. In this
article, the details of the relevant diagnostic and treatment for this young person are
provided.

Keywords

Main Subjects


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