Publications by authors named "Scott A Weinstein"

The clinical evolution and management of a 22-yr-old male envenomed by a captive female inland taipan, Oxyuranus microlepidotus (McCoy, 1879), Elapidae, at a public educational reptile exhibit (Florida, USA) is reported. The patient was bitten (quick 'bite and release') in the right hand between digits #3 and 4 while performing captive maintenance. The victim did not attempt any first aid, but urgently presented to the local hospital within 25 mins post-bite.

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Article Synopsis
  • Non-front-fanged snakes (NFFS) have been largely neglected in snake venom research, leading to unclear assessments of their medical significance for human bites.
  • The review focuses on European NFFS, highlighting that while most bites cause mild symptoms, the genus Malpolon can result in more severe local and systemic effects.
  • It emphasizes the importance of professional medical evaluation for any bite from these snakes to ensure safety and aid in understanding their potential risks.
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  • The genus Latrodectus includes 35 widow spider species, known for causing severe envenoming symptoms, referred to as latrodectism, which can result in pain, autonomic issues, and rare complications like myocarditis.
  • A case involving a 34-year-old woman envenomed by a red-back spider (L. hasselti) highlighted typical symptoms such as prolonged pain and edema, alongside mild hypertension and other non-specific issues.
  • Treatment with red-back spider antivenom was effective, but the case raised discussion on the complexities of differentiating venom effects from allergic reactions in patients with prior exposure.
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  • Concerns about the medical risks posed by Montpellier snakes, particularly the Western Montpellier snake (Malpolon monspessulanus), have been discussed for over a century, but only a few documented cases exist.
  • A recent case involving a bite from the Eastern Montpellier snake (Malpolon insignitus) in Iran resulted in moderate localized symptoms, such as sharp pain and swelling, but the bite resolved fully in five days with no lasting effects.
  • The majority of envenomings from Malpolon species are supportive in nature, with most reported cases showing only mild to moderate local reactions and rare systemic complications, like neurotoxicity, requiring more serious medical attention.
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We describe species richness patterns of venomous snakes in Iran in order to produce snakebite risk prediction maps and identify gaps in regional health care centers capable of managing snakebites. We digitized distribution maps from the literature, Global Biodiversity Information Facility (GBIF), and the results of our own field studies of 24 terrestrial venomous snake species (including 4 endemic to Iran). Species richness patterns were associated with eight environmental factors.

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In Iran, there are approximately 4500-6500 snakebites per year, but fortunately only 3-9 of these are fatal. However, in some population centers such as Kashan city (Isfahan Province, central Iran), approximately 80% of snakebites are attributed to "non-venomous" snakes that are often comprised of several species of non-front-fanged snakes (NFFS). NFFS comprise a diverse group that constitute approximately 2900 species belonging to an estimated 15 families.

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Article Synopsis
  • The evidence regarding non-front-fanged snake bites is mixed, with potential roles of atopy (allergy) and hypersensitivity often overlooked.
  • A case is described involving a captive African emerald snake bite that resulted in moderate Type IV hypersensitivity in a 44-year-old man, leading to persistent itching and a rash that took six days to heal.
  • The study emphasizes the need for formal documentation of snake bite cases to better understand the medical risks associated with less-known species and calls attention to the atopic risks in private snake collectors.
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Snakebite is an important problem in Myanmar. Regionally, bites by Eastern Russell's vipers, Daboia siamensis (Viperidae, Viperinae), and monocled cobras, Naja kaouthia are considered medically important, but those categorised as "green snake" bites are not. However, these may include bites by green pit vipers, Trimeresurus spp.

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Article Synopsis
  • * The bite resulted in significant local symptoms, including pain, swelling, and blistering, but no systemic issues were reported.
  • * The case highlights the risks associated with handling these snakes, suggesting they can cause serious local envenoming effects similar to other venomous species, indicating they should be treated with caution.
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Two cases of bites by a South African psammophiid snake, Psammophylax rhombeatus, are described and analyzed. These are the first detailed reports of local envenoming by a Psammophylax spp. While handling a wild-collected 1 m P.

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A recent case of a bite by a psammophiid snake, Psammophis schokari, is described and analyzed. This is the first report of local envenoming by this species. The 1 m long P.

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  • - Mushroom poisoning is on the rise and existing classifications are outdated, missing new identified syndromes, which complicates diagnosis.
  • - A review of literature since 1994 resulted in a new classification with six major groups of mushroom poisoning based on specific clinical features, causation, and symptoms.
  • - The proposed groups include cytotoxic, neurotoxic, myotoxic, and metabolic poisoning, each with further subcategories outlining distinct symptoms and pathogens.
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The red-bellied black snake (Pseudechis porphyriacus, Elapidae) is one of several species of venomous snakes most commonly implicated in human and domestic animal envenoming in Australia. Human systemic envenoming can present with myotoxicity that may include myoglobinuria; hemoglobinuria and intravascular hemolysis; thrombocytopenia, anticoagulant coagulopathy, and, rarely, mild cranial nerve palsies. Pseudechis porphyriacus envenoming can also feature significant local morbidity such as ecchymoses, bleeding, pain and necrosis.

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Introduction: A case of life threatening envenoming by a wild specimen of the inland taipan, Oxyuranus microlepidotus, is described. There have been 11 previously well-documented envenomings by O. microlepidotus, but only 2 were inflicted by wild snakes.

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The ancient perceptions of "venomous" and "poisonous snakes", as well as the Indo-European (IE) etymological origins of the term "venom" specifically associated with snakes are considered. Although several ancient cultures perceived snakes as symbols of fecundity and renewal, concurrent beliefs also associated venomous snakes with undesirable human characteristics or as portending non-propitious events. The respective IE roots of the terms "venom" and "poison", "wen" and "poi" refer to desire or the act of ingesting liquids.

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