Full text

Turn on search term navigation

Copyright © 2021 Tein-Shun Tsai et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/

Abstract

Reports of envenomation induced by Daboia siamensis, a medically important venomous snake in Taiwan, are rare, and species identification might not be definitive. This article reports the complete course of a definite D. siamensis bite. The patient in this report was one of the authors who was bitten on the right palm near the base of the index finger by D. siamensis. The patient experienced local effects, neurological manifestations, and acute kidney injury. The laboratory analysis revealed elevated D-dimer and coagulopathy. The patient was administered 8 vials of antivenom and did not undergo surgical intervention or endotracheal tube intubation, but serum sickness occurred 8 days after antivenom administration. The horse immunoglobulin produced by the Centers for Disease Control, R. O. C. (Taiwan), against D. siamensis was effective and safe in the treatment of the patient. However, the best antivenom administration strategy remains unclear and requires further study.

Details

Title
Personal Experience of Daboia siamensis Envenomation
Author
Tsai, Tein-Shun 1 ; Liu, Chun-Chieh 2 ; Po-Chun Chuang 3   VIAFID ORCID Logo 

 Department of Biological Science and Technology, National Pingtung University of Science and Technology, Pingtung, Taiwan 
 Department of Emergency Medicine, Ministry of Health and Welfare Pingtung Hospital, Pingtung, Taiwan 
 Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan 
Editor
John Kortbeek
Publication year
2021
Publication date
2021
Publisher
John Wiley & Sons, Inc.
ISSN
16879627
e-ISSN
16879635
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2615861354
Copyright
Copyright © 2021 Tein-Shun Tsai et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/