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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Snakebite envenomation continues to be a major health concern in tropical countries such as the Philippines, especially in rural areas where access to antivenom is limited. Pit viper envenomation can lead to local tissue necrosis, compartment syndrome, coagulopathy, and acute kidney injury (AKI). The lack of accessible antivenom in many hospitals exacerbates the challenge in managing these cases to which can lead to a potentially fatal outcome. Hemoadsorption with HA 230 offers a potential adjunctive treatment by removing circulating toxins and inflammatory mediators that contribute to organ dysfunction
A 42-year-old male, a farmer, initially presented with pain and swelling of the left hand after being bitten by a pit viper. Upon presentation, he had hemorrhagic bullae, an insensate ring finger, and swelling of the entire arm leading to compartment syndrome. Due to the unavailability of antivenom, the patient was initially transferred between hospitals. Upon arrival, the patient underwent urgent acute shortening of the right finger. However, serum creatinine was persistently elevated 308.4 µmol/L with metabolic acidosis (pH 7.33; HCO₃ 16.9 mmol/L). Due to the unavailability of antivenom, the use of hemoadsorption HA 230 was initiated as adjunctive therapy.
After a single session of HA 230-assisted hemoperfusion, significant biochemical and clinical improvement was observed. Serum creatinine decreased from 308.4 to 250 µmol/L. Arterial pH improved from 7.33 to 7.45 and bicarbonate from 16.9 to 19.8 mmol/L. Hemoglobin and hematocrit remained stable, and leukocytosis declined. Clinically, edema regressed, and no further systemic complications were observed.
Immediate access to antivenom remains crucial in managing envenomation. In the absence of specific antivenom, hemoadsorption using the HA 230 cartridge served as a valuable adjunctive therapy for severe pit viper envenomation complicated by AKI. By reducing circulating inflammatory mediators and venom components, HA 230 may help correct acid–base imbalance, improve renal function, and mitigate early organ damage. This case underscores the potential of extracorporeal hemoadsorption as a supportive intervention in resource-limited settings where antivenom is unavailable.
