Summary: Bites by snakes. The condition of having been bitten by a venomous snake, characterized by stinging pain at the wound puncture. The venom injected at the site of the bite is capable of producing a deleterious effect on the blood or on the nervous system. (Webster's 3d ed; from Dorland, 27th ed, at snake, venomous)
Publications228 found, 100 shown here
- The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deathsAnuradhani Kasturiratne
Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka
PLoS Med 5:e218. 2008..In an attempt to provide an accurate, up-to-date estimate of the scale of the global problem, we developed a new method to estimate the disease burden due to snakebites...
- Snake-bites: appraisal of the global situationJ P Chippaux
Centre de Recherches sur les Meningites et les Schistosomiases, Niamey, Niger
Bull World Health Organ 76:515-24. 1998..The present article is an attempt to draw the attention of health authorities to snake envenomations and urges them to prepare therapeutic protocols adapted to their needs...
- 'Offensive' snakes: cultural beliefs and practices related to snakebites in a Brazilian rural settlementDídac S Fita
Department of Biodiversity Conservation, El Colegio de la Frontera Sur ECOSUR, C P 29290, Apto Postal 63, San Cristobal de Las Casas, Chiapas, Mexico
J Ethnobiol Ethnomed 6:13. 2010..offense' and the folk knowledge related to local beliefs and practices of folk medicine that prevent and treat snake bites, as well as the implications for the conservation of snakes in the county of Pedra Branca, Bahia State, Brazil...
- Bites of venomous snakesBarry S Gold
Division of Emergency Medicine, University of Maryland School of Medicine, Baltimore 21201-1539, USA
N Engl J Med 347:347-56. 2002
- Snakebites and ethnobotany in the northwest region of Colombia. Part III: neutralization of the haemorrhagic effect of Bothrops atrox venomR Otero
Programa de Ofidismo, Facultad de Medicina, Universidad de Antioquia, A A 1226, Medellin, Colombia
J Ethnopharmacol 73:233-41. 2000..d. venom injection (10 microg), neutralization of haemorrhage dropped below 25% for all the extracts. Additionally, B. rosademonte and P. percussa extracts were able to inhibit the proteolytic activity of B. atrox venom on casein...
- Antivenom use, premedication and early adverse reactions in the management of snake bites in rural Papua New GuineaDavid J Williams
School of Public Health and Tropical Medicine, James Cook University, Townsville, QLD, Australia
Toxicon 49:780-92. 2007..To examine antivenom use, premedication, early adverse reactions and patient outcomes after snake bite in rural Papua New Guinea...
- Epidemiological, clinical and therapeutic aspects of Bothrops asper bitesRafael Otero-Patiño
Facultad de Medicina, Universidad de Antioquia, Medellin, Colombia
Toxicon 54:998-1011. 2009..In addition to antivenom therapy, a number of ancillary interventions are recommended in the treatment of B. asper bites...
- Oral bacterial flora of the Chinese cobra (Naja atra) and bamboo pit viper (Trimeresurus albolabris) in Hong Kong SAR, ChinaK C Shek
Accident and Emergency Department, Tuen Mun Hospital, Hospital Authority, Hong Kong
Hong Kong Med J 15:183-90. 2009..To determine the oral bacterial flora associated with two common local venomous snakes in Hong Kong, namely the Chinese cobra (Naja atra) and the bamboo pit viper (Trimeresurus albolabris)...
- Snake antivenomsDavid G Lalloo
Liverpool School of Tropical Medicine, Liverpool, UK
J Toxicol Clin Toxicol 41:277-90; 317-27. 2003
- Ending the drought: new strategies for improving the flow of affordable, effective antivenoms in Asia and AfricaDavid J Williams
Australian Venom Research Unit, Department of Pharmacology, University of Melbourne, Parkville, Vic, 3010, Australia
J Proteomics 74:1735-67. 2011....
- Snake bite in South Asia: a reviewEmilie Alirol
Division of International and Humanitarian Medicine, Geneva University Hospitals, Geneva, Switzerland
PLoS Negl Trop Dis 4:e603. 2010..The deficiency of snake bite management in South Asia is multi-causal and requires joint collaborative efforts from researchers, antivenom manufacturers, policy makers, public health authorities and international funders...
- Snakebite envenoming from a global perspective: Towards an integrated approachJose Maria Gutierrez
Instituto Clodomiro Picado, Facultad de Microbiologia, Universidad de Costa Rica, 1000 San José, Costa Rica
Toxicon 56:1223-35. 2010....
- Acute renal failure after Crotalus durissus snakebite: a prospective survey on 100 patientsFábia M O Pinho
Division of Nephrology, University of Sao Paulo Medical School, Sao Paulo, and Hospital de Doenças Tropicais Tropical Diseases Hospital of Goiânia, Brazil
Kidney Int 67:659-67. 2005..Acute renal failure (ARF) is the main cause of death after the South American crotalid snakebite. The aim of this study was to assess the prevalence, risk factors, and characteristics of Crotalus durissus venom-induced ARF...
- Snake venom metalloproteinases: their role in the pathogenesis of local tissue damageJ M Gutierrez
Instituto Clodomiro Picado, Facultad de Microbiologia, Universidad de Costa Rica, San Jose, Costa Rica
Biochimie 82:841-50. 2000....
- Snake biteDavid A Warrell
Nuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford, UK
Lancet 375:77-88. 2010..To treat envenoming, the production and clinical use of antivenom must be improved. Increased collaboration between clinicians, epidemiologists, and laboratory toxinologists should enhance the understanding and treatment of envenoming...
- Acute hypersensitivity reactions associated with administration of crotalidae polyvalent immune Fab antivenomRobert Cannon
Department of Medical Toxicology, Banner Good Samaritan Medical Center, Phoenix, AZ, USA
Ann Emerg Med 51:407-11. 2008..Brentwood, TN) was introduced in 2001, and early studies reported a hypersensitivity reaction rate up to 19%. We describe the incidence of acute hypersensitivity reactions to FabAV in patients bitten by rattlesnakes...
- A randomized multicenter trial of crotalinae polyvalent immune Fab (ovine) antivenom for the treatment for crotaline snakebite in the United StatesR C Dart
Rocky Mountain Poison and Drug Center, 1010 Yosemite Cir, Denver, CO 80230, USA
Arch Intern Med 161:2030-6. 2001..We compared the efficacy and safety of 2 dosing regimens with a new antivenom, Crotalinae polyvalent immune Fab (Fab AV)...
- Plant natural products active against snake bite--the molecular approachW B Mors
Nucleo de Pesquisas de Produtos Naturais, Centro de Ciencias de Saude, Universidade Federal do Rio de Janeiro, Brazil
Phytochemistry 55:627-42. 2000....
- Two cases of rattlesnake envenomation with delayed coagulopathyMichael A Miller
Ann Emerg Med 39:348. 2002
- Ethnobotanical survey of folk plants for the treatment of snakebites in Southern part of Tamilnadu, IndiaRamar Perumal Samy
Venom and Toxin Research Programme, Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore
J Ethnopharmacol 115:302-12. 2008....
- Snakebite nephropathyVisith Sitprija
Queen Saovabha Memorial Institute and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
Nephrology (Carlton) 11:442-8. 2006..Direct nephrotoxicity can be induced by the venom through metalloproteases and phosphilipase A2. Immunologic mechanism plays a minor role in the pathogenesis of the renal lesion...
- Antivenom: the most cost-effective treatment in the world?N Brown
The Institute of Biotechnology, University of Cambridge, Cambridge, UK
Toxicon 55:1405-7. 2010..These advances may lead to antivenom becoming one of the most cost-effective treatments available to modern medicine, and provides strong justification for its inclusion in international health funding initiatives...
- The clinical significance of venom detection in patients of cobra snakebiteDong-Zong Hung
Institute of Toxicology, School of Medicine, National Taiwan University, No. 1, Section 1, Jen-Ai Road, Taipei City 10043, Taiwan, ROC
Toxicon 41:409-15. 2003..In conclusion, these results indicate that venom detection in snakebite victims is valuable in diagnosis and severity assessment of Taiwan cobra snakebite...
- Syndromic approach to treatment of snake bite in Sri Lanka based on results of a prospective national hospital-based survey of patients envenomed by identified snakesChristeine A Ariaratnam
Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
Am J Trop Med Hyg 81:725-31. 2009..The technique of hospital-based collection, labeling and preservation of dead snakes brought by bitten patients is recommended for rapid assessment of a country's medically-important herpetofauna...
- Taiwan's venomous snakebite: epidemiological, evolution and geographic differencesDong Zong Hung
Division of Toxicology, Emergency Department, Taichung Veterans General Hospital, 160, Sec 3, Taichung Harbor Road, Taichung 407, Taiwan
Trans R Soc Trop Med Hyg 98:96-101. 2004....
- Epidemiology, clinical profile and management issues of cobra (Naja naja) bites in Sri Lanka: first authenticated case seriesS A M Kularatne
Department of Medicine, Faculty of Medicine, Peradeniya University, Sri Lanka
Trans R Soc Trop Med Hyg 103:924-30. 2009..The findings highlight the magnitude of local necrosis, respiratory paralysis and antivenom failure in Spectacled cobra bite in Sri Lanka. Coagulopathy requires verification with robust laboratory tests...
- Prognostic factors for local necrosis in Bothrops jararaca (Brazilian pit viper) bitesL A Ribeiro
Departamento de Clínica Médica da Faculdade de Medicina da Universidade Federal de Uberlândia, Av Pará 1720 Uberlândia, Minas Gerais, CEP 38400 902, Brazil
Trans R Soc Trop Med Hyg 95:630-4. 2001..The size of the snake was the most important independent prognostic factor related to the presence of necrosis...
- Study of the efficacy of the black stone on envenomation by snake bite in the murine modelJean Philippe Chippaux
Institut de Recherche pour le Developpement, La Paz, Bolivia
Toxicon 49:717-20. 2007..arietans venom. Our results show that, contrary to widespread belief, no efficacy to treat envenomation may be expected of the BS...
- [Guidelines for the production, control and regulation of snake antivenom immunoglobulins]Jean Philippe Chippaux
Unité de recherche Santé de la mère et de l enfant en milieu tropical, IRD UR010, Universite Paris Descartes, 4 avenue de l Observatoire, Paris Cedex 06, France
Biol Aujourdhui 204:87-91. 2010..These guidelines, which will published soon, should promote access to antivenoms, and their use by health services, leading in the short term to a significant decrease of snakebite morbidity and mortality...
- Twentieth century toxinology and antivenom development in AustraliaKenneth D Winkel
Australian Venom Research Unit, Department of Pharmacology, University of Melbourne, Parkville, VIC 3010, Australia
Toxicon 48:738-54. 2006..This paper reviews some of the milestones of Australian toxinology, and antivenom development in particular, during the 20th century...
- Antivenomic assessment of the immunological reactivity of EchiTAb-Plus-ICP, an antivenom for the treatment of snakebite envenoming in sub-Saharan AfricaJuan J Calvete
Instituto de Biomedicina de Valencia, C S I C, Jaume Roig 11, 46010 Valencia, Spain
Am J Trop Med Hyg 82:1194-201. 2010....
- A cross-sectional survey of snake oral bacterial flora from Hong Kong, SAR, ChinaKa Keung Lam
Department of Accident and Emergency, Pok Oi Hospital, Au Tau, New Territories, Hong Kong SAR, People s Republic of China
Emerg Med J 28:107-14. 2011..To determine the pattern of oral bacterial flora and their sensitivity to antibiotics in freshly captured native snakes in Hong Kong SAR, People's Republic of China...
- Confronting the neglected problem of snake bite envenoming: the need for a global partnershipJose Maria Gutierrez
Instituto Clodomiro Picado, Facultad de Microbiologia, Universidad de Costa Rica, San Jose, Costa Rica
PLoS Med 3:e150. 2006
- Report of the 4th International Conference on Envenomations by Snakebites and Scorpion Stings in Africa, Dakar, April 25-29, 2011Jean Philippe Chippaux
Cerpage et IRD UMR 216, Mère et Enfant Face aux Infections Tropicales, Cotonou, Benin
Toxicon 58:426-9. 2011..Finally, financing mechanisms to ensure an equitable distribution of resources must be sought, as well as the constitution of a network of African experts were discussed at length...
- Estimate of the burden of snakebites in sub-Saharan Africa: a meta-analytic approachJean Philippe Chippaux
Institut de Recherche pour le Developpement, UMR 216 Mother and Child facing tropical infections, Cotonou, Republique du Benin
Toxicon 57:586-99. 2011....
- Venomous snakes of Saudi Arabia and the Middle East: a keynote for travellersM Ismail
Graduate Studies and Research, October6 University, 6th of October City, Main Center 111, Egypt
Int J Antimicrob Agents 21:164-9. 2003..The epidemiology of snake bites, pathophysiology of toxicity and the clinical features of envenoming by the different species of snakes are ..
- Snakebite mortality in India: a nationally representative mortality surveyBijayeeni Mohapatra
Shri Ramachandra Bhanj Medical College, Cuttack, Orissa, India
PLoS Negl Trop Dis 5:e1018. 2011..However, inadequate hospital-based reporting has resulted in estimates of total annual snakebite mortality ranging widely from about 1,300 to 50,000. We calculated direct estimates of snakebite mortality from a national mortality survey...
- Large snake size suggests increased snakebite severity in patients bitten by rattlesnakes in Southern californiaDonald N Janes
Lynchburg General Hospital, Lynchburg, VA 24501, USA
Wilderness Environ Med 21:120-6. 2010..To correlate rattlesnake size and other characteristics of envenomation with the severity of envenomation...
- Tetanus after white-lipped green pit viper (Trimeresurus albolabris) biteChusana Suankratay
Division of Infectious Diseases, Department of Medicine, Chulalongkorn University, Bangkok 10330, Thailand
Wilderness Environ Med 13:256-61. 2002
- Tetanus complicating snakebite in northern Nigeria: clinical presentation and public health implicationsA G Habib
Ahmadu Bello University Hospital, Zaria, Nigeria
Acta Trop 85:87-91. 2003..Snakebite is not uncommon and partly because of lack of effective antivenom, management in inaccessible areas could be complicated with tetanus in unimmunized victims...
- Crotaline Fab antivenom appears to be effective in cases of severe North American pit viper envenomation: an integrative reviewEric J Lavonas
Rocky Mountain Poison and Drug Center, Denver Health Hospital Authority, 777 Bannock St, MC 0180, Denver, CO 80204, USA
BMC Emerg Med 9:13. 2009..No clinical trial data are available concerning the effectiveness of FabAV for treatment of severe snakebite, but several published articles describe its use in this setting...
- Suction for venomous snakebite: a study of "mock venom" extraction in a human modelMichael B Alberts
Department of Emergency Medicine, University Medical Center, University of California, San Francisco, Fresno 93702, USA
Ann Emerg Med 43:181-6. 2004..We determine the percentage of mock venom recovered by a suction device (Sawyer Extractor pump) in a simulated snakebite in human volunteers...
- Snakebite injuries treated in United States emergency departments, 2001-2004Mary Elizabeth O'Neil
RTI International, Social and Statistical Sciences, Atlanta, GA 30341, USA
Wilderness Environ Med 18:281-7. 2007..National estimates of such injuries treated in emergency departments (EDs) are presented along with characteristics of the affected population...
- Pressure immobilization delays mortality and increases intracompartmental pressure after artificial intramuscular rattlesnake envenomation in a porcine modelSean P Bush
Department of Emergency Medicine Laack, Loma Linda University School of Medicine, Medical Center and Children s Hospital, Loma Linda, CA, USA
Ann Emerg Med 44:599-604. 2004..We determine the effect of pressure immobilization on mortality and intracompartmental pressure after artificial intramuscular Crotalus atrox envenomation in a porcine model...
- Antivenom therapy for snakebites in children: is there evidence?James M Schmidt
Division of Emergency Medicine, Department of Pediatrics, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA
Curr Opin Pediatr 17:234-8. 2005..This review examines the evidence supporting the use of CroFab, with particular attention on the pediatric population...
- Current use of Australian snake antivenoms and frequency of immediate-type hypersensitivity reactions and anaphylaxisGeoffrey K Isbister
Menzies School of Health Research, Charles Darwin University, Darwin, NT
Med J Aust 188:473-6. 2008..To investigate current use of Australian snake antivenoms and the frequency and severity of immediate-type hypersensitivity reactions...
- [Snakebites in the State of Goiás, Brazil]Fábia Maria Oliveira Pinho
Universidade Catolica de Goias, Goiania, GO
Rev Assoc Med Bras 50:93-6. 2004..Ophidic accidents are a serious health problem for tropical countries, because are responsible for the high incidence of morbidity and mortality...
- Snakebite mortality at Port Moresby General Hospital, Papua New Guinea, 1992-2001Forbes McGain
Australian Venom Research Unit, Department of Pharmacology, University of Melbourne, Melbourne, Vic
Med J Aust 181:687-91. 2004....
- Crotalidae polyvalent immune Fab for the treatment of pediatric crotaline envenomationCollin S Goto
Division of Pediatric Emergency Medicine, Children s Medical Center of Dallas, Medical Toxicology, North Texas Poison Center, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75235, USA
Pediatr Emerg Care 25:273-9; quiz 280-2. 2009..This article will review the use of FabAV for the treatment of pediatric crotaline envenomation...
- A large single-center experience with treatment of patients with crotalid envenomations: outcomes with and evolution of antivenin therapyMichael G Corneille
Division of Trauma and Emergency Surgery, Department of Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX 78229 3900, USA
Am J Surg 192:848-52. 2006..Allergic reactions are fewer with ovine Fab antivenin (FabAV). This study describes the management of crotalid envenomations in patients treated with FabAV or ACP, and without antivenin...
- Pediatric snakebites: lessons learned from 114 casesBrendan T Campbell
Department of Surgery, Arkansas Children s Hospital and the University of Arkansas for Medical Sciences, Little Rock, AR 72202, USA
J Pediatr Surg 43:1338-41. 2008..Evidence-based guidelines for the treatment of pediatric snakebite injuries are lacking because they occur infrequently in most centers...
- Low incidence of early reactions to horse-derived F(ab')(2) antivenom for snakebites in ThailandAegachai Thiansookon
Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand
Acta Trop 105:203-5. 2008..Antivenom can be given in all 10 without reactions. In conclusion, the incidence of early reactions to antivenoms was low in Thailand and skin test is not helpful at all in predicting this adverse reaction...
- Epidemiology and hospital course of rattlesnake envenomations cared for at a tertiary referral center in Central ArizonaD Tanen
Department of Medical Toxicology, Good Samaritan Regional Medical Center, Phoenix, AZ, USA
Acad Emerg Med 8:177-82. 2001OBJECTIVE: To describe the demographics and primary inpatient treatment of victims of rattle-snake bites (RSBs) referred to a teritiary referral poison treatment center in central Arizona, and to compare the frequency of local tissue ..
- Use of stun guns for venomous bites and stings: a reviewE Ben Welch
Department of Pharmacy Practice, School of Pharmacy, Southwestern Oklahoma State University, Weatherford, USA
Wilderness Environ Med 12:111-7. 2001..A Medline search was performed using these terms: venomous bites, venomous stings, snake bites, spider bites, electrical, stun gun, high voltage electricity, low amperage electricity, direct current, and ..
- Coagulopathy following bites by the Papuan taipan (Oxyuranus scutellatus canni)D G Lalloo
Department of Clinical Sciences, Faculty of Medicine, University of Papua New Guinea
Blood Coagul Fibrinolysis 6:65-72. 1995..These abnormalities may be primarily attributable to the prothrombin activator present in taipan venom, but it is likely that other uncharacterized venom components contributed...
- Short-term outcomes after Fab antivenom therapy for severe crotaline snakebiteEric J Lavonas
Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, CO, USA
Ann Emerg Med 57:128-137.e3. 2011....
- Effects of a negative pressure venom extraction device (Extractor) on local tissue injury after artificial rattlesnake envenomation in a porcine modelS P Bush
Loma Linda University School of Medicine, CA, USA
Wilderness Environ Med 11:180-8. 2000..To determine if a commercially available negative-pressure venom extraction device (Extractor) reduces local tissue injury after artificial rattlesnake envenomation in a porcine model...
- Snakebites and ethnobotany in the northwest region of Colombia: Part II: neutralization of lethal and enzymatic effects of Bothrops atrox venomR Otero
Programa de Ofidismo, Facultad de Medicina, Universidad de Antioquia, A A 1226, Medellin, Colombia
J Ethnopharmacol 71:505-11. 2000..limon, D. croatii and S. acuta) were devoid of antiphospholipase A2 activity, when they were tested against one minimum indirect hemolytic dose of B. atrox venom (2 microg) in agarose-erythrocyte-egg yolk gels...
- Use of antivenom for snakebites reported to United States poison centersHenry A Spiller
Kentucky Regional Poison Center, PO Box 35070, Louisville, KY 40232 5070, USA
Am J Emerg Med 28:780-5. 2010..In 2001, a new antivenin was introduced to the United States and became widely available in the snakebite season of 2002. We investigated what impact this may have had on snakebite treatment and medical outcome...
- Late hematologic toxicity following treatment of rattlesnake envenomation with crotalidae polyvalent immune Fab antivenomAnne Michelle Ruha
Department of Medical Toxicology, Banner Good Samaritan Medical Center, Phoenix, AZ, United States
Toxicon 57:53-9. 2011....
- Evidence-based, multidisciplinary approach to the development of a crotalidae polyvalent antivenin (CroFab) protocol at a university hospitalKyle A Weant
Department of Pharmacy Services, University of Kentucky HealthCare, Lexington, KY 40536, USA
Ann Pharmacother 44:447-55. 2010..The inappropriate use of this agent can result in adverse patient consequences and a significant financial burden for both the hospital and the patient...
- Immediate hypersensitivity reaction associated with the rapid infusion of Crotalidae polyvalent immune Fab (ovine)Christopher P Holstege
Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22908 0699, USA
Ann Emerg Med 39:677-9. 2002..Holstege CP, Wu J, Baer AB. Immediate hypersensitivity reaction associated with the rapid infusion of Crotalidae polyvalent immune Fab (ovine). Ann Emerg Med. June 2002;39:677-679.]..
- Copperhead snakebites: clinical severity of local effectsE J Scharman
West Virginia Poison Center, West Virginia University Charleston Division, Charleston, WV 25304, USA
Ann Emerg Med 38:55-61. 2001..We sought to evaluate the type and extent of local reactions after copperhead snakebites...
- Necrotizing fasciitis of the upper extremity resulting from a water moccasin biteMichael F Angel
Division of Infectious Disease, University of Mississippi Medical Center, Jackson 39216, USA
South Med J 95:1090-4. 2002..Early and aggressive surgical intervention should be implemented as soon as the necrotizing fasciitis is diagnosed...
- Airway obstruction following canebrake rattlesnake envenomationW Kerns
Emergency Medicine and Medical Toxicology, Carolinas Medical Center, Charlotte, North Carolina, USA
J Emerg Med 20:377-80. 2001..He was managed with fiberoptic nasotracheal intubation and Crotalid antivenin with good outcome...
- Lipoic acid effects on renal function, aminopeptidase activities and oxidative stress in Crotalus durissus terrificus envenomation in miceValter de Sousa Alegre
Laboratory of Pharmacology, Instituto Butantan, Av Vital Brazil, 1500, 05503 900 Sao Paulo, SP, Brazil
Toxicon 56:402-10. 2010..Data suggest that LA contributes to the solubilization/remotion of proteins in MF with impairment of most AP, but it could be beneficial for the treatment of the direct nephrotoxicity of vCdt...
- Endogenous thrombin potential as a novel method for the characterization of procoagulant snake venoms and the efficacy of antivenomGeoffrey K Isbister
Faculty of Health, University of Newcastle, Newcastle, New South Wales, Australia
Toxicon 56:75-85. 2010..ETP is a useful assay to investigate mechanisms of other procoagulant venoms and is a robust method of assessing antivenom efficacy...
- Rattlesnake bites in children: antivenin treatment and surgical indicationsBrian A Shaw
Department of Orthopaedic Surgery, Valley Children s Hospital, Madera, California 93611, USA
J Bone Joint Surg Am 84:1624-9. 2002..Our hypothesis is that aggressive use of antivenin is just as effective and safe for children as it is for adults...
- Recurrent coagulopathy with delayed significant bleeding after crotaline envenomationNicole F O'Brien
Department of Critical Care, Rady Children s Hospital, San Diego, CA 32123, USA
Pediatr Emerg Care 25:457-9. 2009..Report of delayed significant coagulopathy, thrombocytopenia, and bleeding after Crotaline envenomation...
- Recombinant factor VIIa for treatment of gastrointestinal hemorrhage following rattlesnake envenomationAnne Michelle Ruha
Department of Medical Toxicology, Banner Good Samaritan Medical Center, Phoenix, AZ, USA
Wilderness Environ Med 20:156-60. 2009....
- Anaphylaxis after Rattlesnake biteChristopher Camilleri
Ann Emerg Med 43:784-5. 2004
- Snakes of medical significance in India: the first reported case of envenoming by the Levantine viper (Macrovipera lebetina)Lekh R Sharma
Indian Army Medical Corps
Wilderness Environ Med 19:195-8. 2008..Continuing attention to preserving dead snakes brought with the victim for reliable identification remains a high priority...
- Conservative management of delayed, multicomponent coagulopathy following rattlesnake envenomationChristopher Camilleri
Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of California, Davis Medical Center, Sacramento, CA 95817, USA
Clin Toxicol (Phila) 43:201-6. 2005..The bleeding risk associated with these abnormalities is unknown, and dosing guidelines for Crotaline Fab therapy in treating coagulation abnormalities that are severe or delayed-in-onset have not been clearly established...
- Report of two cases: Rattlesnake venom-induced thrombocytopeniaAbiodun A Odeleye
Department of Pathology, University of Virginia Heath System, Charlottesville, Virginia 22908, USA
Ann Clin Lab Sci 34:467-70. 2004..Our experience suggests that, unless spontaneous bleeding occurs, repeated transfusion of fresh frozen plasma and/or platelets may not be indicated...
- Snakebite-induced acute kidney injury in Latin AmericaFábia M Oliveira Pinho
Department of Medicine, Catholic University of Goias, Goiania, Brazil
Semin Nephrol 28:354-62. 2008..In this article the main characteristics of Bothrops and Crotalus snakes and their venoms, the clinical picture, and the pattern of accidents, risk factors, and mechanisms of renal injury are reviewed...
- Envenoming by the common krait (Bungarus caeruleus) and Asian cobra (Naja naja): clinical manifestations and their management in a rural settingHimmatrao Saluba Bawaskar
Bawaskar Hospital and Research Center, Mahad Dist Raigad, Maharasahtra, India
Wilderness Environ Med 15:257-66. 2004..This article discusses the clinical signs and symptoms of krait and cobra envenoming and medical intervention in a rural setting...
- Crotalidae polyvalent immune Fab (ovine) antivenom is efficacious for envenomations by Southern Pacific rattlesnakes (Crotalus helleri)Sean P Bush
Department of Emergency Medicine, Loma Linda University School of Medicine, Medical Center and Children s Hospital, Loma Linda, CA, USA
Ann Emerg Med 40:619-24. 2002..We assessed the efficacy of FabAV for patients with confirmed C helleri envenomation...
- Profile of snakebite envenoming in western Maharashtra, IndiaH S Bawaskar
Bawaskar Hospital and Research Centre, Mahad Raigad, Maharashtra, India
Trans R Soc Trop Med Hyg 96:79-84. 2002..It is also of use in assessing the effectiveness of ASV and is of crucial importance for controlling administration of expensive ASV in relation to restoration of blood coagulability...
- Complex regional pain syndrome (CRPS) type-1 following snake bite: a case reportB Bhattarai
Department of Anaesthesiology and Critical Care, BP Koirala Institute of Health Sciences BPKIHS, Dharan, Nepal
Nepal Med Coll J 10:278-80. 2008..Our experience in managing this patient and associated pathophysiology in development of CRPS type-1 are discussed...
- [Mortality from snake bites, wild and domestic animal bites and arthropod stings in the savannah zone of eastern Senegal]J F Trape
Laboratoire de Paludologie, Institut de recherche pour le developpement IRD, B P 1 386, Dakar, Senegal
Bull Soc Pathol Exot 95:154-6. 2002..5%), Naja katiensis (5.5%), Bitis arietans (2.7%), Elapsoidea trapei (2.4%), Naja nigricollis (1.2%), Naja melanoleuca (1.1%), Atractaspis aterrima (0.4%), Dendroaspis polylepis (0.3%) and Naja haje (0.1%)...
- EnvenomationsEunice M Singletary
Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22908-0774, USA
Med Clin North Am 89:1195-224. 2005..Clinicians should be familiar with the animals in their region that may lead to envenomation.A rational approach with use of poison center or medical toxicology consultation services ensures that cases are managed appropriately...
- Hemoperitoneum complicating snake bite: rare CT featuresK Rathod
Department of Radiology, King Edward VII Memorial Hospital, Parel, Mumbai 400 012, India
Abdom Imaging 28:820-1. 2003..We report the computed tomographic findings in a case of snake bite resulting in hemoperitoneum, which, to the best of our knowledge, has not been reported in the literature...
- Venomous snakebites in the United States: management review and updateGregory Juckett
West Virginia University School of Medicine, Robert C Byrd Health Sciences Center, Morgantown 26506, USA
Am Fam Physician 65:1367-74. 2002..Surgical intervention with fasciotomy is now reserved for rare cases. Snakebite prevention should be taught to patients...
- Risk of immediate effects from F(ab)2 bivalent antivenin in TaiwanJ C Chen
Department of Emergency Medicine, Chang Gung Memorial Hospital, Kweishan Hsiang, Taoyuan Hsien, Taiwan, ROC
Wilderness Environ Med 11:163-7. 2000..To evaluate the incidence of immediate adverse effects from equine fragment antigen binding F(ab)2 bivalent antivenin produced by the National Institute of Preventive Medicine (NIPM) in Taiwan...
- Characteristics of venomous snakebites in HerzegovinaPero Bubalo
Department of Infectious Diseases, Mostar University Hospital, Mostar, Bosnia and Herzegovina
Croat Med J 45:50-3. 2004..To investigate the degree to which primary and secondary care physicians in the Herzegovina region follow the protocols recommended in the literature for treatment of patients bitten by a venomous snake...
- [Epidemiology of snake bites in the Republic of Ivory Coast]J P Chippaux
Institut de recherche pour le developpement IRD, B P 1 386, Dakar, Senegal
Bull Soc Pathol Exot 95:167-71. 2002..5% of the population. At the beginning of the 1980s, envenomations could be estimated at over 13,000 per 8 million inhabitants and the number of deaths 200 per annum...
- Poisonous snakebite in UtahD M Plowman
Division of Emergency Medicine, Logan Regional Hospital, Logan, Utah, USA
West J Med 163:547-51. 1995..One child died in a snake-handling incident. Long-term morbidity was unknown due to lack of follow-up. The Utah Poison Control Center was poorly utilized as a reporting and informational resource...
- Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the Thar desert region of Rajasthan, IndiaD K Kochar
S P Medical College Bikaner, Rajasthan, India
Wilderness Environ Med 18:75-85. 2007..Clinical information is reported on 12 victims bitten by definitively identified E sochureki, and 2 clinical cases are described in greater detail to illustrate the severity of envenoming by this snake...
- Crotalid envenomation: the southern Arizona experienceJ T Tokish
Sections of Orthopedic Surgery, The University of Arizona Health Sciences Center, Tucson, USA
J Orthop Trauma 15:5-9. 2001..They recommend that established objective envenomation severity scores be used to dictate patient treatment, specifically the use of antivenin...
- Serious envenomation after a snakebite by a Western bush viper (Atheris chlorechis) in the Netherlands: a case reportL J Top
Intensive and Respiratory Care Unit, Department of Internal Medicine, University Medical Centre Groningen, Groningen, The Netherlands
Neth J Med 64:153-6. 2006..Antidote was not readily available and was finally supplied by a zoo in Antwerp, Belgium. One day after admission the blood loss diminished...
- [Envenomation by Bothrops in the State of Bahia: epidemiological and clinical aspects]Yukari Figueroa Mise
Departamento de Zoologia, Instituto de Biologia, Universidade Federal da Bahia, Salvador, BA
Rev Soc Bras Med Trop 40:569-73. 2007..The antivenin therapy used (7.7 blisters/patient) reflected the fact that the majority of the cases were moderate. Antivenins other than the univalent type were used in 2.3% of the cases...
- Estimates of disease burden due to land-snake bite in Sri Lankan hospitalsA Kasturiratne
Department of Community and Family Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka
Southeast Asian J Trop Med Public Health 36:733-40. 2005..Despite this, there have been no countrywide studies or national estimates of disease burden due to snake bites in Sri Lankan hospitals...
- Antivenom therapy for crotaline snakebites: has the poison control center provided effective guidelines?Yen Chia Chen
Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
J Formos Med Assoc 106:1057-62. 2007..The lower dose of antivenom recommended by the PCC may be as effective and safe as the higher dose used in the surgical group for the treatment of crotaline snakebites...
- Irradiated Cerastes cerastes venom as a novel tool for immunotherapyHabiba Oussedik-Oumehdi
Laboratoire de Biologie Cellulaire et Moleculaire, Faculte des Sciences Biologiques, USTHB Bab Ezzouar, Algiers, Algeria
Immunopharmacol Immunotoxicol 30:37-52. 2008Immunotherapy is the most effective treatment for the snake bites. The antivenoms are commonly obtained by hyperimmunization of animals that suffer from venom toxicity...
- Neutralisation of venom-induced haemorrhage by IgG from camels and llamas immunised with viper venom and also by endogenous, non-IgG components in camelid seraR A Harrison
Alistair Reid Venom Research Unit, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK
Toxicon 47:364-8. 2006..Unexpectedly, we report for the first time that camelid serum contains a non-IgG, highly potent inhibitor of venom-induced haemorrhage...
- Unscrupulous marketing of snake bite antivenoms in Africa and Papua New Guinea: choosing the right product--'what's in a name?'David A Warrell
Nuffield Department of Clinical Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, UK
Trans R Soc Trop Med Hyg 102:397-9. 2008..A major source of confusion is labelling antivenom with ambiguous snake names that fail to distinguish the Asian species whose venoms are used in their production from the local snakes whose venoms are antigenically dissimilar...
- Venomous adversaries: a reference to snake identification, field safety, and bite-victim first aid for disaster-response personnel deploying into the hurricane-prone regions of North AmericaEdward J Wozniak
USPHS Inactive Reserve, Texas A and M University Health Science Center, Institute for Biosciences and Technology, Program For Animal Resources, 2121 W Holcombe Blvd, Houston, TX 77030, USA
Wilderness Environ Med 17:246-66. 2006....
- Bioinformatics and multiepitope DNA immunization to design rational snake antivenomSimon C Wagstaff
Alistair Reid Venom Research Unit, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, United Kingdom
PLoS Med 3:e184. 2006..Here we exploit recent molecular sequence analysis and DNA immunization tools to design more rational toxin-targeted antivenom...
- [The management of snake envenomation: evaluation of twenty-one snake bite cases]Rustu Kose
Department of Plastic and Reconstructive Surgery, Kahramanmaras State Hospital, Kahramanmaras, Turkey
Ulus Travma Acil Cerrahi Derg 13:307-12. 2007..Snake envenomation, its treatment and outcomes are presented in this study...
- Viper bite with continuous defibrination despite adequate treatment with antivenomJ Jacob
MGM Muthoot Medical Centre, Ring Road, Pathanamthitta
J Assoc Physicians India 54:733-4. 2006..This phenomenon could be due to envenomation caused by a snake, probably from Viperidae family, which is not covered by the polyvalent antivenom available in India...
- Correlation between timing of ASV administration and complications in snake bitesK Narvencar
Department of Medicine, Goa Medical College, Bambolim, Goa
J Assoc Physicians India 54:717-9. 2006..The early institution of ASV is beneficial in preventing complications however severe is the systemic envenomation...
- Phase 2 Clinical Trial of Coralmyn for Coral Snake Bite (BB-IND 13926,01/02/09)LESLIE VICTORIA BOYER; Fiscal Year: 2010..2) Demonstrate the value of plasma venom levels as a surrogate endpoint in coral snake bites by relating venom levels to severity of envenomation, before and after treatment...