{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T02:52:52Z","timestamp":1775616772327,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,8,24]],"date-time":"2011-08-24T00:00:00Z","timestamp":1314144000000},"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":["J Vet Emergen Crit Care"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the clinical presentation and case management of a dog that developed ascending flaccid paralysis after being envenomated by a Southern Pacific rattlesnake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Summary<\/jats:title><jats:p>A dog was presented after it was bitten by a Southern Pacific rattlesnake. Only mild local edema and a minor coagulapathy developed, which is atypical for the Southern Pacific envenomation where hemotoxic effects are more commonly observed. Instead, a severe, rapidly progressing, ascending flaccid paralysis leading to acute respiratory failure, consistent with Mojave toxin, was seen. The patient was treated with repeated doses of antivenin and supported with mechanical ventilation. Despite clinical improvement of the paralysis over subsequent 3 days and successful weaning off the ventilator, the dog decompensated and succumbed to acute respiratory distress syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>New or Unique Information Provided<\/jats:title><jats:p>The geographic region where this envenomation occurred has a documented population of Southern Pacific rattlesnakes with Mojave toxin in their venom. To the knowledge of the authors, this is the first reported case in the veterinary literature of an ascending flaccid paralysis, consistent with Mojave toxin, developing after an envenomation by a Southern Pacific rattlesnake.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1476-4431.2011.00668.x","type":"journal-article","created":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T04:36:48Z","timestamp":1314851808000},"page":"558-564","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Mojave toxin\u2010type ascending flaccid paralysis after an envenomation by a Southern Pacific Rattlesnake in a dog"],"prefix":"10.1111","volume":"21","author":[{"given":"Sarah R.","family":"Hoggan","sequence":"first","affiliation":[{"name":"Emergency Department of California Veterinary Specialists  Murrieta CA 92562"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Carr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen A.","family":"Sausman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ctsap.2006.10.008"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra013477"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-2591-7.10095-5"},{"issue":"3","key":"e_1_2_6_5_1","first-page":"166","article-title":"Rattlesnake envenomation","volume":"29","author":"Najman L","year":"2007","journal-title":"Compend Contin Educ Vet"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2004.08.008"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1638\/2008-0113.1"},{"issue":"3","key":"e_1_2_6_8_1","first-page":"153","article-title":"Long\u2010term assessment of pulmonary function tests in pediatric survivors of acute respiratory distress syndrome","volume":"8","author":"Ben\u2010Abraham R","year":"2002","journal-title":"Med Sci Monit"},{"issue":"3","key":"e_1_2_6_9_1","first-page":"149","article-title":"Acute respiratory distress syndrome in children: a 10 year experience","volume":"1","author":"Paret G","year":"1999","journal-title":"Isr Med Assoc J"},{"key":"e_1_2_6_10_1","first-page":"495","volume-title":"The Biology of Rattlesnakes","author":"Mackessy SP","year":"2008"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2010.01.006"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2004.01.007"},{"key":"e_1_2_6_13_1","doi-asserted-by":"crossref","unstructured":"SchaefferRCJr ReskJ MarshD et al.Isolation and partial characterization of a thrombin\u2010like enzyme from the venom of the southern pacific rattlesnake (Crotalus viridis helleri). 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