From a historical case of systemic envenoming and depression in Zambia details were kept. Presenting features fitted viper bite, warranting polyvalent antivenom intravenously. Applying presently used 'WHO guidelines for prevention clinical management snakebite Africa' (2010), indicate puff adder (Bitis arietans) bite similar treatment. Snakebite treatment need an update on psychological co-morb...

Snakebite envenoming is a neglected tropical disease that may claim over 100,000 human lives annually worldwide. occurs as the result of an interaction between and snake elicits either defensive response from or, more rarely, feeding mistaken identity. therefore biological and, specifically, ecological problem. Snake venom itself often described “cocktail”, it heterogenous mixture molecules inc...

Russell’s viper and hump-nosed are deadly venomous Viperidae snakes in Sri Lanka. Both these vipers widely distributed all climatic zones of the island. causes systemic envenoming such as coagulopathy, neuroparalysis acute kidney injury (AKI) whilst frequently local rarely AKI coagulopathy. These two may cause atypical syndromes like thrombotic microangiopathy (TMA) hemolytic uremic syndrome (H...

This study was done to determine whether high or low dose of anti-snake venom (ASV) is better in coagulopathy in victims of envenoming by vipers. This retrospective study was conducted on the 154 patients (Mean age ± SD, Range) of viper snake bites who were referred to the emergency ward of Razi Hospital, Ahvaz, Iran over 2 years period (2004 - 2006). According to the treatment dosage the patie...

BACKGROUND Most epidemiological and clinical reports on snake envenoming focus on a single country and describe rural communities as being at greatest risk. Reports linking snakebite vulnerability to socioeconomic status are usually limited to anecdotal statements. The few reports with a global perspective have identified the tropical regions of Asia and Africa as suffering the highest levels o...

We report a case of severe rapid-onset paralysis in a 28- year-old previously healthy man, necessitating intubation and mechanical ventilation, after a presumed bite or sting. Despite no other systemic manifestations of envenoming, the paralysis rapidly responded to polyvalent snake antivenom. The rapidity and severity of clinical effects make this case most concerning. We outline a differentia...