PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of bmjcredLink to Publisher's site
 
Br Med J (Clin Res Ed). 1983 February 26; 286(6366): 678–680.
PMCID: PMC1547089

Severe neurotoxic envenoming by the Malayan krait Bungarus candidus (Linnaeus): response to antivenom and anticholinesterase.

Abstract

Five patients were bitten by the Malayan krait Bungarus candidus (Linnaeus) in eastern Thailand or north western Malaya. Two patients were not envenomed but the other three developed generalised paralysis which progressed to respiratory paralysis in two cases, one of which ended fatally. One patient showed parasympathetic abnormalities. Anticholinesterase produced a dramatic improvement in one patient. Another patient probably benefited from paraspecific antivenom. The efficacy of antivenoms and adjuvants such as anticholinesterases in patients with neurotoxic envenoming requires further study.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (704K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • AHUJA ML, SINGH G. Snake bite in India. Indian J Med Res. 1954 Oct;42(4):661–686. [PubMed]
  • Theakston RD, Lloyd-Jones MJ, Reid HA. Micro-ELISA for detecting and assaying snake venom and venom-antibody. Lancet. 1977 Sep 24;2(8039):639–641. [PubMed]
  • Warrell DA, Greenwood BM, Davidson NM, Ormerod LD, Prentice CR. Necrosis, haemorrhage and complement depletion following bites by the spitting cobra (Naja nigricollis). Q J Med. 1976 Jan;45(177):1–22. [PubMed]
  • Tilbury CR. Observations on the bite of the Mozambique spitting cobra (Naja mossambica mossambica). S Afr Med J. 1982 Feb 27;61(9):308–313. [PubMed]
  • Sethi PK, Rastogi JK. Neurological aspects of ophitoxemia (Indian krait)- A clinico-electromyographic study. Indian J Med Res. 1981 Feb;73:269–276. [PubMed]
  • CAMPBELL CH. VENOMOUS SNAKE BITE IN PAPUA AND ITS TREATMENT WITH TRACHEOTOMY, ARTIFICIAL RESPIRATION AND ANTIVENENE. Trans R Soc Trop Med Hyg. 1964 May;58:263–273. [PubMed]
  • REID HA. Diagnosis, prognosis, and treatment of sea-snake bite. Lancet. 1961 Aug 19;2(7199):399–402. [PubMed]
  • Hood VL, Johnson JR. Acute renal failure with myoglobinuria after tiger snake bite. Med J Aust. 1975 Oct 18;2(16):638–641. [PubMed]
  • Banerjee RN, Sahni AL, Chacko KA, Vijay K. Neostigmine in the treatment of Elapidae bites. J Assoc Physicians India. 1972 Jul;20(7):503–509. [PubMed]
  • Ramakrishnan MR, Sankaran K, Gupta GD, Chandrasekar S. External ophthalmoplegia in elapidae bites and its response to neostigmine. Neurol India. 1975 Jun;23(2):109–110. [PubMed]

Articles from British Medical Journal (Clinical Research Ed.) are provided here courtesy of BMJ Publishing Group