A Case of Echis Carinatus (?) Poisoning Failure of Calcium as a Therapeutic Agent. Death in 86½ Hours

Maymyo, Burma. Thk following interesting case of ophitoxsemia occurred in Karachi when I was Assistant Director of Medical Services in that district. The case came under the care of Major Newton Davis, i.M.S., to whom I am indebted for these notes. I append an abridged version of the notes on the case sheet. History.?Babu Kale, a sepoy in the 215th Mahratta Light Infantry, aged 23, reported sick at 8 a.m. on the 18th of August, 1923, at the Indian Station Hospital, Karachi. He had a swollen foot which he said was due to a fail. He was selected for :r-ray examination and admitted into hospital. At 9-30 a.m. he confessed that he was bitten by a snake at about 5 a.m. whilst going to the latrine and did not report this at first on account of fear. The snake had not been killed and had escaped. Present condition.?Examination revealed two tiny punctures on the dorsum of the left foot which was very swollen. The patient complained of severe burning pain in the foot and faintness. His pulse was fairly good and respiration normal. A tourniquet was applied, the punctures incised and potassium permanganate crystals were rubbed in. Antivenene, 40 c.c., was administered intravenously. At 2-30 p.m. the patient was very restless. He