Severe Neurotoxic Envenoming and Cardiac Complications after the Bite of a ‘Sind Krait’ (Bungarus cf. sindanus) in Maharashtra, India
| Autor: | Anil Khaire, Ulrich Kuch, Lalitha V. Pillai, Saifuddin Husainy, Dhananjay P. Ambike, Ashok Captain |
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| Rok vydání: | 2012 |
| Předmět: |
Abdominal pain
Pediatrics medicine.medical_specialty Antivenom India Case Report Artificial respiration Bungarus Bungarus cf. sindanus medicine Paralysis Common krait Envenomation snake antivenom biology business.industry Public Health Environmental and Occupational Health Maharashtra medicine.disease biology.organism_classification Snake bites Surgery Infectious Diseases envenoming medicine.symptom business neurotoxic |
| Zdroj: | Tropical Medicine and Health |
| ISSN: | 1349-4147 1348-8945 |
| Popis: | We report a case of severe envenoming with unusual complications and two anecdotal cases of fatalities following proven 17-scale-row ‘Sind krait’ (Bungarus cf. sindanus) bites on people sleeping in temporary huts at construction sites in Pune District, Maharashtra, India. A 25-yr-old male developed progressive neuromuscular paralysis, abdominal pain and autonomic disturbances complicated by four prolonged episodes of pulseless ventricular tachycardia requiring defibrillation, and followed by pulmonary edema secondary to impaired left ventricular systolic function and hyperfusion. There was no response to antivenom; mechanical ventilation was required for six days. Only one other case of fatal envenoming likely caused by this species had been reported previously in India. The distribution of B. sindanus sensu lato from eastern Afghanistan to India overlaps with that of the superficially very similar common krait (Bungarus caeruleus). Thus, B. cf. sindanus envenoming may be common but routinely overlooked or misdiagnosed. |
| Databáze: | OpenAIRE |
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