ACASE OF MAMUSHI(AGKISTRODON HALYS BLOMHOFFII)BITE ACCOMPANIED BY PECULIAR UPPER GASTROINTESTINAL ENDOSCOPIC FINDINGS

Mitsuhiro SUGAWARA; Kunio SATO; Seishi ORII; Hiromi KATO; Ichiro NAKADATE; Wataru ISHIDA; Takao FUJIWARA; Yasuto HASHIMOTO; Akihiro NORO; Chieko KATO; Shunichi SATO; Shin-ichi NAKAMURA; Osamu MORIAI; Toshimichi SATO; Satoshi OGASAWARA

doi:10.11280/gee1973b.41.946

Mitsuhiro SUGAWARA, Kunio SATO, Seishi ORII, Hiromi KATO, Ichiro NAKADATE, Wataru ISHIDA, Takao FUJIWARA, Yasuto HASHIMOTO, Akihiro NORO, Chieko KATO, Shunichi SATO, Shin-ichi NAKAMURA, Osamu MORIAI, Toshimichi SATO, Satoshi OGASAWARA

Author information

Mitsuhiro SUGAWARA
Department of Internal Medicine, Hospital, Iwate Medical University
Kunio SATO
First Department of Internal Medicine, Iwate Medical University
Seishi ORII
First Department of Internal Medicine, Iwate Medical University
Hiromi KATO
Department of Internal Medicine, Hospital, Iwate Medical University
Ichiro NAKADATE
First Department of Internal Medicine, Iwate Medical University
Wataru ISHIDA
First Department of Internal Medicine, Iwate Medical University
Takao FUJIWARA
First Department of Internal Medicine, Iwate Medical University
Yasuto HASHIMOTO
Division of Pathology, Central Clinical Laboratory, Iwate Medical University
Akihiro NORO
Division of Pathology, Central Clinical Laboratory, Iwate Medical University
Chieko KATO
Division of Pathology, Central Clinical Laboratory, Iwate Medical University
Shunichi SATO
Division of Pathology, Central Clinical Laboratory, Iwate Medical University
Shin-ichi NAKAMURA
Division of Pathology, Central Clinical Laboratory, Iwate Medical University
Osamu MORIAI
First Department of Internal Medicine, Iwate Prefectural Senmaya Hospital
Toshimichi SATO
Department of Surgery. Iwate Prefectural Senmaya Hospital
Satoshi OGASAWARA

JOURNAL FREE ACCESS

1999 Volume 41 Issue 4 Pages 946-951

DOI https://doi.org/10.11280/gee1973b.41.946

Details

Abstract

A 58-year-old man was admitted to Iwate Prefectural Senmaya Hospital for Mamushibite. Despite the minor swelling at the site of bite, he had gone into shock, while vomitingfood residue and coffee-grounds liquid, he were underwent upper gastrointestinal endoscopy. Endoscopic findings showed:1)large and small blood blister-like protrusions on theentire esophageal mucosa, 2)redness on the entire gastric mucosa, and 3)duodenal ulcer.Those peculiar lesions were found soon after the patient experienced the bite, suggestingthat these symptoms were caused directly by the Mamushi toxin.

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