Neurotoxic envenoming by the Sri Lankan krait (Bungarus ceylonicus) complicated by traditional treatment and a reaction to antivenom.
A 30 year old woman bitten by a large Sri Lankan krait (Bungarus ceylonicus) developed progressive paralytic symptoms within one hour of the bite. After seeking traditional treatment her condition deteriorated and when she arrived at hospital 6 h after the bite she was drowsy, with bilateral ptosis...
| Main Authors: | , , |
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| Format: | Journal article |
| Language: | English |
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1993
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| _version_ | 1826285409660829696 |
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| author | de Silva, A Mendis, S Warrell, D |
| author_facet | de Silva, A Mendis, S Warrell, D |
| author_sort | de Silva, A |
| collection | OXFORD |
| description | A 30 year old woman bitten by a large Sri Lankan krait (Bungarus ceylonicus) developed progressive paralytic symptoms within one hour of the bite. After seeking traditional treatment her condition deteriorated and when she arrived at hospital 6 h after the bite she was drowsy, with bilateral ptosis and signs of aspiration pneumonia (a complication of traditional treatment). She developed an anaphylactic reaction after antivenom treatment and, despite treatment, had a cardio-respiratory arrest. She was resuscitated and mechanically ventilated, but remained deeply unconscious until her death 90 h after the bite. B. ceylonicus is endemic in Sri Lanka, is common in some areas, and could be mistaken for the common krait (B. caeruleus). It is doubtful whether any existing antivenom is effective against its venom. |
| first_indexed | 2024-03-07T01:28:24Z |
| format | Journal article |
| id | oxford-uuid:92be3118-f962-4267-b8ef-14f1ed2aed07 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T01:28:24Z |
| publishDate | 1993 |
| record_format | dspace |
| spelling | oxford-uuid:92be3118-f962-4267-b8ef-14f1ed2aed072022-03-26T23:27:43ZNeurotoxic envenoming by the Sri Lankan krait (Bungarus ceylonicus) complicated by traditional treatment and a reaction to antivenom.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:92be3118-f962-4267-b8ef-14f1ed2aed07EnglishSymplectic Elements at Oxford1993de Silva, AMendis, SWarrell, DA 30 year old woman bitten by a large Sri Lankan krait (Bungarus ceylonicus) developed progressive paralytic symptoms within one hour of the bite. After seeking traditional treatment her condition deteriorated and when she arrived at hospital 6 h after the bite she was drowsy, with bilateral ptosis and signs of aspiration pneumonia (a complication of traditional treatment). She developed an anaphylactic reaction after antivenom treatment and, despite treatment, had a cardio-respiratory arrest. She was resuscitated and mechanically ventilated, but remained deeply unconscious until her death 90 h after the bite. B. ceylonicus is endemic in Sri Lanka, is common in some areas, and could be mistaken for the common krait (B. caeruleus). It is doubtful whether any existing antivenom is effective against its venom. |
| spellingShingle | de Silva, A Mendis, S Warrell, D Neurotoxic envenoming by the Sri Lankan krait (Bungarus ceylonicus) complicated by traditional treatment and a reaction to antivenom. |
| title | Neurotoxic envenoming by the Sri Lankan krait (Bungarus ceylonicus) complicated by traditional treatment and a reaction to antivenom. |
| title_full | Neurotoxic envenoming by the Sri Lankan krait (Bungarus ceylonicus) complicated by traditional treatment and a reaction to antivenom. |
| title_fullStr | Neurotoxic envenoming by the Sri Lankan krait (Bungarus ceylonicus) complicated by traditional treatment and a reaction to antivenom. |
| title_full_unstemmed | Neurotoxic envenoming by the Sri Lankan krait (Bungarus ceylonicus) complicated by traditional treatment and a reaction to antivenom. |
| title_short | Neurotoxic envenoming by the Sri Lankan krait (Bungarus ceylonicus) complicated by traditional treatment and a reaction to antivenom. |
| title_sort | neurotoxic envenoming by the sri lankan krait bungarus ceylonicus complicated by traditional treatment and a reaction to antivenom |
| work_keys_str_mv | AT desilvaa neurotoxicenvenomingbythesrilankankraitbungarusceylonicuscomplicatedbytraditionaltreatmentandareactiontoantivenom AT mendiss neurotoxicenvenomingbythesrilankankraitbungarusceylonicuscomplicatedbytraditionaltreatmentandareactiontoantivenom AT warrelld neurotoxicenvenomingbythesrilankankraitbungarusceylonicuscomplicatedbytraditionaltreatmentandareactiontoantivenom |