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The Veterinary clinics of North America. Equine practice2023; 40(1); 133-150; doi: 10.1016/j.cveq.2023.08.003

Snake Envenomation.

Abstract: Snakebite envenomation (SBE) in horses can have devastating outcomes. Tissue damage, cardiotoxicity, coagulopathy, and neurotoxicity can be concerns with SBE. Understanding the actions of venom components is important in developing a successful treatment plan. Antivenom is the mainstay of treatment. Long-term deleterious effects can occur including cardiac dysfunction and lameness.
Publication Date: 2023-09-15 PubMed ID: 37716857DOI: 10.1016/j.cveq.2023.08.003Google Scholar: Lookup
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Summary

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Snakebite envenomation in horses can cause severe health issues including tissue damage, heart problems, blood clotting disorders, and nervous system effects. Effective treatment primarily involves antivenom, though long-term complications such as heart dysfunction and lameness may still develop.

Introduction to Snakebite Envenomation (SBE) in Horses

  • Snakebite envenomation is a critical veterinary emergency affecting horses.
  • Envenomation occurs when venom from a snake is injected into the horse during a bite.
  • Horses can suffer from a variety of systemic and localized effects due to venom components.

Pathophysiology and Clinical Effects

  • Tissue Damage: Venom enzymes and toxins cause local necrosis and inflammation at the bite site.
  • Cardiotoxicity: Certain venom components interfere with cardiac function, potentially leading to arrhythmias or myocardial damage.
  • Coagulopathy: Venom can disrupt the coagulation cascade, which may result in excessive bleeding or thrombosis.
  • Neurotoxicity: Some snake venoms contain neurotoxins that impair nerve function, leading to paralysis or other neurological deficits.

Understanding Venom Components

  • Venoms are complex mixtures containing enzymes, peptides, and proteins.
  • Each component targets different physiological systems, contributing to the variety of clinical signs.
  • Detailed knowledge of these components aids clinicians in predicting potential complications and tailoring treatment.

Treatment Strategies

  • Antivenom: The primary and most effective therapy for SBE is administration of antivenom.
  • Antivenom works by neutralizing venom toxins, helping halt progression of systemic effects.
  • Supportive care is also important and may include fluid therapy, pain management, and treatment of complications.

Long-term Effects

  • Some horses may experience chronic complications after initial recovery from envenomation.
  • Cardiac Dysfunction: Persistent heart problems resulting from the initial cardiotoxicity.
  • Lameness: Ongoing musculoskeletal issues due to tissue damage, inflammation, or neurotoxic effects.
  • Monitoring and rehabilitation may be necessary to manage these long-term sequelae.

Conclusion

  • Snakebite envenomation in horses is a complex condition requiring prompt recognition and treatment.
  • Antivenom remains the cornerstone of therapy, but understanding venom effects supports comprehensive care.
  • Awareness of potential long-term effects ensures better management and follow-up of affected animals.

Cite This Article

APA
Gilliam LL. (2023). Snake Envenomation. Vet Clin North Am Equine Pract, 40(1), 133-150. https://doi.org/10.1016/j.cveq.2023.08.003

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 40
Issue: 1
Pages: 133-150
PII: S0749-0739(23)00056-1

Researcher Affiliations

Gilliam, Lyndi L
  • College of Veterinary Medicine, Oklahoma State University, 2065 West Farm Road, Stillwater, OK 74078, USA. Electronic address: l.gilliam@okstate.edu.

MeSH Terms

  • Animals
  • Horses
  • Snake Bites / complications
  • Snake Bites / veterinary
  • Horse Diseases / etiology
  • Horse Diseases / therapy
  • Antivenins / therapeutic use
  • Blood Coagulation Disorders / veterinary

Conflict of Interest Statement

Disclosure The author has performed research without financial compensation for MgBiologics and Ophirex.

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