Paediatric cases of Ceylon krait (Bungarus ceylonicus) bites and some similar looking non-venomous snakebites in Sri Lanka: Misidentification and antivenom administration
| Autor: | Senanayake A. M. Kularatne, R.M.M.K. Namal Rathnayaka, P.E.A. Nishanthi Ranathunga |
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| Rok vydání: | 2021 |
| Předmět: |
0106 biological sciences
Adult Pediatrics medicine.medical_specialty Bungarus Adolescent Antivenom Snake Bites Toxicology complex mixtures 01 natural sciences 03 medical and health sciences parasitic diseases medicine Animals Humans Child Ceylon computer.programming_language Sri Lanka Elapid Venoms 0303 health sciences Family elapidae biology Adult patients business.industry Antivenins 010604 marine biology & hydrobiology 030302 biochemistry & molecular biology biology.organism_classification Krait venom Bungarus ceylonicus Sri lanka business Clinical record computer |
| Zdroj: | Toxicon : official journal of the International Society on Toxinology. 198 |
| ISSN: | 1879-3150 |
| Popis: | Ceylon krait (Bungarus ceylonicus) of the family Elapidae is a highly venomous endemic species inhabiting in the wet zone and some parts of the intermediate climatic zones of Sri Lanka. Clinical records of its bites are rare and limited to five case reports in the literature. It is of interest to note that there are several non-venomous snakes in Sri Lanka having similar morphological appearance to kraits causing identification difficulties which lead to unnecessary and unindicated administration of antivenom. We report two paediatric cases of proven Ceylon krait bites and three adult patients with similar looking non-venomous snakebites. These children were 1½ and 13 years old and developed neuroparalysis without progressing to respiratory failure and recovered. Both the children were administered Indian polyvalent antivenom which has not developed against endemic Ceylon krait venom. The two adult patients also received antivenom due to the misidentification without clinical and laboratory evidence of envenoming. |
| Databáze: | OpenAIRE |
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