Confirmed Ceylon krait (Bungarus ceylonicus) envenoming in Sri Lanka resulting in neuromuscular paralysis: a case report
| Autor: | Indika Gawarammana, Chamara Dalugama |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Adult Male Pediatrics medicine.medical_specialty Bungarus Time Factors Facial Paralysis Ceylon krait lcsh:Medicine Snake Bites Case Report 03 medical and health sciences Elapid snake Species Specificity parasitic diseases Paralysis Medicine Species identification Animals Humans Immunologic Factors Snakebite Bungarus ceylonicus Ceylon computer.programming_language Sri Lanka 030102 biochemistry & molecular biology biology business.industry Antivenins Electromyography lcsh:R General Medicine biology.organism_classification Bungarotoxins Single fiber electromyography Surgery Neuromuscular paralysis Treatment Outcome Sri lanka medicine.symptom business computer |
| Zdroj: | Journal of Medical Case Reports Journal of Medical Case Reports, Vol 11, Iss 1, Pp 1-4 (2017) |
| ISSN: | 1752-1947 |
| Popis: | Background Ceylon krait (Bungarus ceylonicus) is a venomous elapid snake endemic to Sri Lanka. It inhabits shaded home gardens and forests in the wet zone of Sri Lanka and might creep into houses in the night. Despite frequent encounters with humans, reports of envenoming are very rare. Case presentation We report a case of a 26-year-old Sri Lankan Sinhalese man with confirmed Ceylon krait envenoming presenting with bilateral partial ptosis, ophthalmoplegia, facial muscle weakness, and dysphagia. Single fiber electromyography and repetitive nerve stimulation confirmed neuromuscular paralysis. He was administered polyvalent anti-venom serum immediately following admission without a prompt clinical response. Complete recovery was observed 3 days following the bite. Conclusions Because of the rarity of envenoming, precise and detailed information on the clinical manifestations following envenoming is lacking. However, Ceylon krait bite can be potentially fatal; so, treating physicians should be aware of species identification, habitat, and biting habits and clinical presentation of envenoming of Ceylon krait. This case report adds knowledge to the existing limited literature available on Ceylon krait envenoming; a rare but potentially fatal clinical entity. |
| Databáze: | OpenAIRE |
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