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November 17, 1951

PERFORATED DUODENAL ULCER FOLLOWING SNAKEBITE

Author Affiliations

Great Falls, Mont.

From the Departments of Medicine and Surgery, Columbus Hospital.

JAMA. 1951;147(12):1134-1135. doi:10.1001/jama.1951.73670290003011b
Abstract

Peptic ulcer in infancy, with or without perforation, is no longer considered rare.1 Snakebite as the precipitating cause of the ulceration has not, as far as we are aware, been previously reported. About 2,000 venomous snake bites occur yearly in the United States. We are therefore reporting this case as a sequela to be watched for.

REPORT OF CASE  L. L., a 22-mo.-old girl, was brought the emergency room of the hospital about 45 min. after having been struck by a rattlesnake in each leg. In the excitement the snake had not been killed for identification of type. The presence of a neurotoxin in the venom was, however, made apparent by the high degree of central nervous system stimulation. The child's back was arched, her musculature hypertonic. The bowels had moved and respiration was difficult. There were fine to medium coarse, moist rales heard throughout both lungs. She did

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