{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T02:57:04Z","timestamp":1769050624187,"version":"3.49.0"},"reference-count":24,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12,4]]},"abstract":"<jats:p>Snakebite envenoming is a major health issue in many parts of the world, especially in rural areas. <jats:italic>Vipera ammodytes<\/jats:italic> is the commonest cause of snakebite in Greece. We report our experience with a patient bitten by such a snake, who developed massive intravascular hemolysis characterized by a spherocytic rather than microangiopathic hemolytic picture. This case illustrates the potential of snakebite envenoming to cause spherocytic hemolytic anemia associated with hemoglobinuria and acute renal failure, and represents the first report of <jats:italic>V. ammodytes<\/jats:italic> in this context. Another important point is that antivenom was rapidly effective in reversing spherocytic hemolytic anemia, even though several hours had elapsed since the bite.<\/jats:p>","DOI":"10.4269\/ajtmh.19-0611","type":"journal-article","created":{"date-parts":[[2019,10,29]],"date-time":"2019-10-29T07:01:32Z","timestamp":1572332492000},"page":"1442-1445","source":"Crossref","is-referenced-by-count":9,"title":["Case Report: Spherocytic Hemolytic Anemia after Envenomation by Long-Nosed Viper (Vipera ammodytes)"],"prefix":"10.4269","volume":"101","author":[{"given":"Konstantinos","family":"Liapis","sequence":"first","affiliation":[{"name":"Department of Clinical Hematology, Georgios Gennimatas Hospital, Athens, Greece;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelia","family":"Charitaki","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Aghios Georgios Hospital, Chania, Greece;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Psaroulaki","sequence":"additional","affiliation":[{"name":"Department of Clinical Microbiology and Microbial Pathogenesis, Unit of Zoonoses and Geographic Medicine, School of Medicine, University of Crete, Heraklion, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Eur J Intern Med","first-page":"24","article-title":"Snake venom poisoning in Greece. 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