Toxicon : official journal of the International Society on Toxinology · 2022
Recurrent neurotoxity in Naja kaouthia envenomation: A case report from Assam, India.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Giri Surajit, Taye Simanta Jyoti, Shyam Ruma, Saikia Bandana, Jangid Rajib, Yasmin Rafika, Doley Robin
Аннотация
A 35 year old, male patient, bitten by Naja kaouthia with mild pain was admitted in Demow Government Community Health Centre. After 90 min post bite he developed neurotoxic symptoms. As per standard protocol, the patient was treated with 25 vials of antivenom and two doses of glycopyrrolate and neostigmine. Subsequently, he was seemingly devoid of any neurotoxic symptoms and showed signs of recovery. However, after 70 h, the neurotoxic symptoms recurred, and the patient was again treated with an additional 10 vials of ASV along with one dose of glycopyrrolate and neostigmine. Subsequently, the patient recovered completely from all the other symptoms of envenomation. This is the first report of recurrence of neurotoxic symptoms in a patient envenomed by Naja kaouthia in Assam, India and supports the need for greater attention and careful documentation of management of snakebite in the region.