publication . Article . Conference object . 2017

Bites by the monocled cobra, Naja kaouthia, in Chittagong division, Bangladesh: Epidemiology, clinical features of envenoming and management of 70 identified cases

Ulrich Kuch; M N U Tareq; M. F. Ahsan; Mohammad Murad Hossain; John Harris; David A. Warrell; Aniruddha Ghose; Mohammad Abul Faiz; R.D.G. Theakston; M. R. Rahman; ...
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Open Access English
  • Published: 30 Jan 2017 Journal: American Journal of Tropical Medicine and Hygiene, volume 96, issue 4 (issn: 0002-9637, eissn: 1476-1645, Copyright policy)
Abstract
We describe 70 cases of monocled cobra (Naja kaouthia) bite admitted to Chittagong Medical College Hospital, Bangladesh. The biting snakes were identified by examining the dead snake and/or detecting N. kaouthia venom antigens in patients' serum. Bites were most common in the early morning and evening during the monsoon (May–July). Ligatures were routinely applied to the bitten limb before admission. Thirty-seven patients consulted traditional healers, most of whom made incisions around the bite site. Fifty-eight patients experienced severe neurotoxicity and most suffered swelling and pain of the bitten limb. The use of an Indian polyvalent antivenom in patients...
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doi: 10.4269/ajtmh.16-0842
pmid: 28138054
pmc: PMC5392636
Subjects
Medical Subject Headings: complex mixtures
free text keywords: qv_600, wa_395, wd_410, Articles, ddc:610, Antivenom, Cobra, computer.programming_language, computer, Biting, In patient, Naja kaouthia, biology.organism_classification, biology, First aid, Medicine, business.industry, business, Internal medicine, medicine.medical_specialty, Surgery, Epidemiology, Elapidae
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Funded by
WT| The Greater Black Krait (Bungarus niger) in Bangladesh: ecology, epidemiology and management of envenoming bites.
Project
The Greater Black Krait (Bungarus niger) in Bangladesh: ecology, epidemiology and management of envenoming bites.
  • Funder: Wellcome Trust (WT)
  • Project Code: 079027
  • Funding stream: Population and Public Health
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