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Case Reports in Pulmonology
Volume 2013, Article ID 364195, 3 pages
Case Report

Snake Envenomation Causing Distant Tracheal Myonecrosis

1University of California, Berkeley, CA 94704, USA
2Christus Spohn Hospital Emergency Medicine Residency, Corpus Christi, TX 78404, USA
3Pulmonary Associates, Corpus Christi, TX 78413, USA
4Texas A&M University, 1177 W Wheeler Avenue, Suite 1, Aransas Pass, TX 78336, USA

Received 21 June 2013; Accepted 7 August 2013

Academic Editors: R. E. Girgis and C. Weiler

Copyright © 2013 Amina Khimani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Snakebites are often believed to be poisonous. However, this is not always the case. In fact, each bite differs from snake to snake, depending on if the snake is poisonous and if there is envenomation. Venom in pit viper snakebites is often associated with local necrosis. The abundant literature selections and research articles justify local myonecrosis due to envenomation, but there is not much in the literature regarding myonecrosis at a site distant from the snakebite. We hereby present a case of a 42-year-old man who was transferred to our emergency department after a rattlesnake bit him twice. The patient, besides developing local myonecrosis at the site of the snakebite, developed necrosis of the scrotum as well as tracheal pressure myonecrosis at the site of the endotracheal tube balloon. In this review, we will attempt to discuss the myonecrosis pathophysiology and management related to the rattle snakebite.