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This document summarizes two cases of life-threatening envenoming caused by captive Saharan horned vipers (Cerastes cerastes). Both men developed extensive local swelling and systemic effects including coagulopathy, increased fibrinolysis, microangiopathic hemolytic anemia and acute renal failure after being bitten while handling the vipers. Treatment with antivenom helped reduce venom antigen levels and clinical effects in one case. The venom is discussed as containing several components that can cause thr

Author

Breiner Andres Lopez

Language

EN