Distal Necrosis of all Four Limbs Complicating Viperin Envenomation

Abstract

This is a 36-year-old woman from a rural area, the victim of a bite of the right hand by a viper. The patient was hospitalized in intensive care for acute respiratory distress. The evolution was marked by the installation of a disseminated intravascular coagulation complicated by a cerebrovascular accident, pulmonary embolism, myocardial involvement, and distal necrosis of the limbs requiring amputation of the limbs. the right leg, an amputation of the right forearm, a left trans-metatarsal amputation and a left trans-metacarpal amputation. After cardio-respiratory stabilization and the end of resuscitation measures, neurological sequelae such as left hemiparesis and severe psychiatric disorders were discovered in the patient.