Clinical importance of the Mandalay spitting cobra (Naja mandalayensis) in Upper Myanmar - Bites, envenoming and ophthalmia.

Animals Antivenins Elapid Venoms Elapidae Endophthalmitis Myanmar Naja Snake Bites
Antivenom Local necrosis Naja kaouthia, spitting cobra Naja mandalayensis Neurotoxic envenoming Upper Myanmar Venom ophthalmia

Journal

Toxicon : official journal of the International Society on Toxinology
ISSN: 1879-3150
Titre abrégé: Toxicon
Pays: England
ID NLM: 1307333

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 10 03 2020
revised: 22 05 2020
accepted: 27 05 2020
pubmed: 7 6 2020
medline: 28 8 2020
entrez: 7 6 2020
Statut: ppublish

Résumé

Examination of 18 cobras brought to three hospitals in the Mandalay Region by patients bitten or spat at by them distinguished 3 monocled cobras (Naja kaouthia) and 15 Mandalay spitting cobras (N. mandalayensis), based on their morphological characteristics. We confirm and extend the known distributions and habitats of both N. mandalayensis and N. kaouthia in Upper Myanmar. Clinical symptoms of local and systemic envenoming by N. mandalayensis are described for the first time. These included local swelling, blistering and necrosis and life-threatening systemic neurotoxicity. More information is needed about the clinical phenotype and management of bites by N. mandalayensis, the commoner of the two cobras in Upper Myanmar. Since the current cobra antivenom manufactured in Myanmar has lower pre-clinical efficacy against N. mandalayensis than N. kaouthia, there is a need for more specific antivenom therapy.

Identifiants

DOI: 10.1016/j.toxicon.2020.05.023 PMID: 32504626
pubmed: 32504626
pii: S0041-0101(20)30254-3
doi: 10.1016/j.toxicon.2020.05.023
pii:
doi:

Substances chimiques

Antivenins 0
Elapid Venoms 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

39-47

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Auteurs

Department of Zoology, Kyaing Tong University, Keng Tung, Myanmar.
Myanmar Snakebite Project, Mandalay Office, Myanmar.
Department of Zoology, University of Medicine, Mandalay, Myanmar.
Department of Zoology, University of Medicine, Mandalay, Myanmar.
Department of Zoology, University of Medicine, Mandalay, Myanmar.
Myanmar Snakebite Project, Mandalay Office, Myanmar.
Myanmar Snakebite Project, Mandalay Office, Myanmar.
Myanmar Snakebite Project, Mandalay Office, Myanmar.
Myanmar Snakebite Project, Mandalay Office, Myanmar.
Myanmar Snakebite Project, Mandalay Office, Myanmar.
Myanmar Snakebite Project, Mandalay Office, Myanmar.
Kyaukse Hospital, Kyaukse, Myanmar.

Mark O'Shea (M)

Faculty of Science & Engineering, University of Wolverhampton, UK.

Mohammad Afzal Mahmood (MA)

University of Adelaide, Adelaide, Australia.

Chen Au Peh (CA)

University of Adelaide, Adelaide, Australia; Department of Renal Medicine, Royal Adelaide Hospital, Adelaide, Australia.

Julian White (J)

University of Adelaide, Adelaide, Australia; Department of Toxinology, Women's and Children's Hospital, Adelaide, Australia.

David A Warrell (DA)

Nuffield Department of Clinical Medicine, University of Oxford, UK. Electronic address: david.warrell@ndm.ox.ac.uk.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Clinical importance of the Mandalay spitting...
questionsmedicales.fr › Mélanges complexes › Produits biologiques › Sérums immuns › Antitoxines › Sérums antivenimeux › Clinical importance of the Mandalay spitting...
questionsmedicales.fr › Facteurs biologiques › Toxines biologiques › Venins › Venins de serpent › Venins des élapidés › Clinical importance of the Mandalay spitting...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Reptiles › Serpents › Alethinophidia › Elapidae › Clinical importance of the Mandalay spitting...
questionsmedicales.fr › Maladies de l'oeil › Infections de l'oeil › Endophtalmie › Clinical importance of the Mandalay spitting...
questionsmedicales.fr › Régions géographiques › Asie › Asie du Sud-Est › Myanmar › Clinical importance of the Mandalay spitting...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Reptiles › Serpents › Alethinophidia › Elapidae › Naja › Clinical importance of the Mandalay spitting...
questionsmedicales.fr › Plaies et blessures › Morsures et piqûres › Morsures de serpent › Clinical importance of the Mandalay spitting...