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Envenoming by a captive inland taipan, Oxyuranus microlepidotus (McCoy, 1879), Elapidae. A case report, observations on clinical efficacy of expired antivenom and review of O. microlepidotus envenoming.
Toxicon
January 2025
University of South Florida, Department of Emergency Medicine, Tampa, FL, USA; Florida Poison Information Center, Tampa, FL, USA.
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.
View Article and Find Full Text PDFSensitivity and specificity of 20-minute whole blood clotting test, prothrombin time, activated partial thromboplastin time tests in diagnosis of defibrination following Malayan pit viper envenoming.
Toxicon
October 2020
Division of Hematology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Bangkok, Thailand.
Malayan pit vipers (Calloselasma rhodostoma) are major health hazard in Southern Thailand causing systemic bleeding by defibrination and thrombocytopenia. Twenty minute whole blood clotting test (20WBCT) is a useful and informative bedside test recommended by WHO for diagnosis of significant coagulopathy following snakebite envenoming since it to some extent predicts the need for anti-venom therapy. Prothrombin time (PT), international normalized ratio (INR) and activated partial thromboplastin time (APTT) are standard clotting assays that are widely used for diagnosis of coagulopathy.
View Article and Find Full Text PDFEarly pathology in venom-induced consumption coagulopathy by (Yamakagashi snake) envenomation.
Clin Toxicol (Phila)
July 2019
e Department of Dermatology, Graduate School of Medical Science , Kyushu University, Fukuoka , Japan.
(Yamakagashi in Japanese) is a venomous non-front-fanged colubroid snake capable of inflicting envenoming with life-threatening defibrinating coagulopathy. However, because of the uncommon incidence of bites and tendency for late development of symptoms/signs, the early effects of the venom on the coagulation system are poorly known. We describe a boy bitten by a wild and report his clinical course starting at 30 min after the bite.
View Article and Find Full Text PDFAn instructive case of presumed brown snake (Pseudonaja spp.) envenoming.
Clin Toxicol (Phila)
November 2015
Flinders Medical Centre, Bedford Park , Adelaide, South Australia , Australia.
Article Synopsis
- Several species of Australian elapid snakes, particularly the brown snakes (Pseudonaja spp.), are a major cause of human envenoming and can lead to serious health issues like coagulopathy and, in rare cases, paralysis.
- Diagnosing Pseudonaja envenoming typically involves assessing clinical symptoms, checking for bleeding, and running lab tests; however, correctly identifying the snake species is often challenging.
- Although antivenom is essential for treatment, there's ongoing debate about the appropriate dosage, with patients generally surviving if treated promptly, but some may exhibit heart-related complications even after receiving care.
Envenoming by Crotalid Snake Chinese Moccasin Agkistrodon Acutus Bite - A Case Report.
Prague Med Rep
August 2015
Department of Anesthesiology and Intensive Care, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
Although the bites caused by snakes from former Agkistrodon family in the areas of occurrence are not rare and even have certain epidemiologic importance, in case of envenoming by Deinagkistrodon acutus the clinical studies and case reports are very sporadic. This case report describes the envenoming of a private snake breeder bitten by young Chinese moccasin Deinagkistrodon acutus to the thumb of his left hand. He sought for a medical help immediately after snakebite.
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