{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:17:55Z","timestamp":1790201875354,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"abstract":"<jats:p>\n                    Helodermatid lizard envenomations are rarely reported in the literature, and symptoms are usually mild to moderate, primarily causing pain and localized effects. However, severe toxicity can occur with systemic effects, such as angioedema, hemodynamic instability, and myocardial infarction. Although there are reports of\n                    <jats:italic toggle=\"yes\">Heloderma<\/jats:italic>\n                    bites that are reputedly fatal, the data are inconclusive at best. We report a fatal case following a Gila monster (\n                    <jats:italic toggle=\"yes\">Heloderma suspectum<\/jats:italic>\n                    ) bite likely resulting from cascading events initiated at the time of envenomation. This case reinforces the importance of recognizing that envenomated patients may have complex and occasionally idiosyncratic responses to venom and that treatment should be tailored accordingly.\n                  <\/jats:p>","DOI":"10.1177\/10806032261447178","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T14:43:52Z","timestamp":1778251432000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Fatality Following Gila Monster Envenomation"],"prefix":"10.1177","author":[{"given":"Danae","family":"Massengill","sequence":"first","affiliation":[{"name":"Denver Health"},{"name":"University of Colorado, Anschutz Medical Campus, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Muschler","sequence":"additional","affiliation":[{"name":"Denver Health"},{"name":"Brooke Army Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Lielkoks","sequence":"additional","affiliation":[{"name":"CommonSpirit St. Anthony Hospital, Lakewood, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara F.","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Colorado, Anschutz Medical Campus, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Saviola","sequence":"additional","affiliation":[{"name":"University of Colorado, Anschutz Medical Campus, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Kerwin","sequence":"additional","affiliation":[{"name":"University of Northern Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farshad","family":"Shirazi","sequence":"additional","affiliation":[{"name":"Arizona Poison and Drug Information Center, University of Arizona Health Sciences Center, Tucson, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Mackessy","sequence":"additional","affiliation":[{"name":"University of Northern Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicklaus","family":"Brandehoff","sequence":"additional","affiliation":[{"name":"Denver Health"},{"name":"University of Colorado, Anschutz Medical Campus, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3109\/15563650.2014.988791"},{"key":"e_1_3_3_3_2","first-page":"1","article-title":"The Gila monster and its allies. The relationships, habits, and behavior of the lizards of the family Helodermatidae","volume":"109","author":"Bogert CM","year":"1956","unstructured":"Bogert CM, Martin Del Campo R. The Gila monster and its allies. The relationships, habits, and behavior of the lizards of the family Helodermatidae. Bull Am Mus Nat Hist. 1956;109:1.","journal-title":"Bull Am Mus Nat Hist"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(86)80686-2"},{"issue":"5","key":"e_1_3_3_5_2","first-page":"577","article-title":"Acute myocardial infarction following a Gila monster (Heloderma suspectum cinctum) bite","volume":"148","author":"Bou-Abboud CF","year":"1988","unstructured":"Bou-Abboud CF, Kardassakis DG. Acute myocardial infarction following a Gila monster (Heloderma suspectum cinctum) bite. 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