{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T15:30:26Z","timestamp":1792251026484,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T00:00:00Z","timestamp":1606089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Deinagkistrodon acutus<\/jats:italic> (<jats:italic>D<\/jats:italic>.<jats:italic>\u00a0acutus<\/jats:italic>), also known as the Chinese moccasin, is a viper species found throughout the southeastern parts of China, northern Vietnam and Laos. <jats:italic>D<\/jats:italic>.<jats:italic>\u00a0acutus<\/jats:italic> envenomation can result in coagulopathy and lead to death if not treated correctly. A 20\u2010year\u2010old man was discovered with a severely swollen left thigh with overlying dark purple, discolored skin. He was immediately transported to hospital. Laboratory examinations revealed dysfunctional coagulation and fluid\u2010electrolyte imbalances. He died 2\u00a0h later despite resuscitation efforts. Surveillance footage revealed that he had walked through a grass field while returning home that night. Autopsy and pathological examination findings revealed a large area of muscle necrosis of the left thigh, renal tubular necrosis, and hepatocyte necrosis. Potential fang marks were found on the decedent's jeans. Due to our suspicions, we performed specific enzyme\u2010linked immunosorbent assays (ELISA) and detected <jats:italic>D<\/jats:italic>.<jats:italic>\u00a0acutus<\/jats:italic> venom in the kidneys, left thigh muscle, liver, lung, spleen, and heart tissues of the decedent. In conclusion, the clinical manifestations, autopsy, histopathological examination, ELISA, and investigation results confirmed <jats:italic>D<\/jats:italic>.<jats:italic>\u00a0acutus<\/jats:italic> envenomation.<\/jats:p>","DOI":"10.1111\/1556-4029.14622","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T05:21:38Z","timestamp":1606195298000},"page":"786-792","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Unexpected death in a young man associated with a unilateral swollen leg: Pathological and toxicological findings in a fatal snakebite from Deinagkistrodon acutus (Chinese moccasin)"],"prefix":"10.1111","volume":"66","author":[{"given":"Fang","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine Tongji Medical College Huazhong University of Science and Technology Wuhan 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College Wuhan Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhua","family":"Kuang","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine Tongji Medical College Huazhong University of Science and Technology Wuhan 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