DOI: https://doi.org/10.14710/jai.v0i0.59758

Naja Kaouthia Snake Bite: Case Report

1RSUD Hj. Anna Lasmanah, Banjarnegara, Indonesia

2Department of Anesthesiology and Reanimation, Faculty of Medicine, Airlangga University/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

Received: 17 Nov 2023; Revised: 9 May 2024; Accepted: 27 May 2024; Available online: 2 Jul 2024.
Open Access Copyright 2023 JAI (Jurnal Anestesiologi Indonesia)

Citation Format:
Cover Image
Abstract

Background: Snakebites prevalent globally, pose a severe threat, especially in resource-limited regions. The impact is substantial, affecting millions annually, with a significant number of fatalities.

Case: A 37-year-old man experienced deterioration leading to cardiac arrest after being bitten by a Naja Kaouthia snake. Adequate management in the intensive care unit (ICU), including antivenom administration, restored the patient's condition to return of spontaneous circulation (ROSC).

Discussion: Snake venom causes various symptoms, from tissue damage to breathing and heart issues. Treating with antivenom, specifically from horses, can neutralize the venom's effects, as shown in studies. This treatment is effective for Naja Kaouthia bite.

Conclusion: Quick treatment with antivenom partially neutralized the venom, showing how important antivenom is for treating snakebites.

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
CTA
Subject
Type Other
  View (170KB)    Indexing metadata
 common.other
Graphical Abstract
Subject
Type Other
  View (124KB)    Indexing metadata
Keywords: antivenom; envenomation; Indonesia; Naja Kaouthia; snakebite

Article Metrics:

Article Info
Section: Case Reports
Language : EN
Recent articles
Comparison of Laryngeal Mask Airway and Endotracheal Tube on Intraocular Pressure in Vitrectomy Enteral Nutrition Tolerability Assessment in Septic Shock Patients in The ICU of RSUP H. Adam Malik Medan Compliance in Filling Surgical Safety Checklist at The Central Surgical Installation Anesthetic Management of Supraglottic Tumors Undergoing Direct Laryngoscopy Predictors of Severity and Management of Severe Leptospirosis Patients in Intensive Care Unit Adductor Canal Block (ACB) as an Adequate Analgesia Post Anterior Cruciate Ligament Repair Literature Review: Palliative Care in Intensive Care Units Prevention and Management of Stress Ulcers in Critically ill Patients Use of bronchial toilets in sepsis patients treated in the Intensive Care Unit (ICU): A review study on indications and complications More recent articles
Most cited articles
Midazolam Intravena Dosis Rendah Tidak Mempengaruhi Nitric Oxide Intraperitoneal Mencit Balb/C Yang Terpapar Lipopolisakarida Patofisiologi Penyakit Jantung Koroner More cited articles
  1. Meyers SE, Tadi P. Snake Toxicity. 2023
  2. Warrell DA. Venomous Bites, Stings, and Poisoning. Infect Dis Clin North Am. 2019 Mar;33(1):17–38. Doi: 10.106/j.idc.2018.10.001
  3. Bawaskar HS, Bawaskar PH. Snakebite envenoming. The Lancet. 2019 Jan;393(10167):131. Doi: 10.1016/S0140-6736(18)32745-4
  4. Tednes M, Slesinger TL. Evaluation and Treatment of Snake Envenomations. 2023
  5. Mehta S, Sashindran V. Clinical Features And Management Of Snake Bite. Med J Armed Forces India. 2002 Jul;58(3):247–9. Doi.10.1016/S0377-1237(02)80140-X
  6. Charles J Gerardo, et al. Does this Patient Have a Severe Snake Envenomation?” The Rational Clinical Examination Systematic Review. JAMA surgery. 2019 Apr 1 ; 154(4):346-354. doi: 10.1001/jamasurg.2018.5069
  7. Virmani S. Cardiac Involvement In Snake Bite. Med J Armed Forces India. 2002 Apr;58(2):156–7
  8. Aditya John, Ajay K, et al. Cardiovascular manifestations and patient outcomes following snake envenomation : a pilot study. Tropical doctor 2019 ; 49(I) 10-13. doi : 10.1177/0049475518814019
  9. Greene SC, Osborn L, Bower R, Harding SA, Takenaka K. Monocled Cobra (Naja kaouthia) Envenomations Requiring Mechanical Ventilation. J Emerg Med. 2021 Feb;60(2):197–201. doi : 10.1016/j.jemermed.2020.10.014
  10. Zeng L, Hou J, Ge C, Li Y, Gao J, Zhang C, et al. Clinical study of anti-snake venom blockade in the treatment of local tissue necrosis caused by Chinese cobra (Naja atra) bites. PLoS Negl Trop Dis. 2022 Dec 16;16(12):e0010997
  11. Averin AS, Utkin YN. Cardiovascular Effects of Snake Toxins: Cardiotoxicity and Cardioprotection. Acta Naturae. 2021 Nov 15;13(3):4–14. doi : 10.32607/actanaturae.11375
  12. Williams KL, Woslager M, Garland SL, Barton RP, Banner W. Use of polyvalent equine anti-viper serum to treat delayed coagulopathy due to suspected Sistrurus miliarius streckeri envenomation in two children. Clin Toxicol. 2017 May 28;55(5):326–31. Doi: 10.1080/15563650.2017.1284334
  13. Rupeng Mong, et al. Safety profile of snake antivenom (use) in Hong Kong- a review of 191 cases from 2008 to 2015. Clin Toxicol. 2017 Dec ; 55 (10):1066-1071. doi :10.1080/15563650.2017.1334916
  14. Das D, Urs N, Hiremath V, Vishwanath BS, Doley R. Biochemical and biological characterization of Naja kaouthia venom from North-East India and its neutralization by polyvalent antivenom. J Venom Res. 2013;4:31–8
  15. Leong PK, Sim SM, et al. Cross neutralization of Afro-Asian cobra and Asian krait venoms by a Thai polyvalent snake antivenom ( Neuro Polyvalent Snake Antivenom) PLoS Negl Trop Dis. 2012 ; 6:e1672. doi : 10.1371/journal.pntd.0001672

Last update:

No citation recorded.

Last update: 2024-11-21 22:00:30

No citation recorded.