A Case of Respiratory Arrest Following a Snake Bite (Envenomation) by Bungarus candidus.

DOI Open Access
  • Inoue Tetsuya
    Department of Trauma & Critical Care Medicine, Kyorin University School of Medicine
  • Minagawa Kunitomo
    Department of Trauma & Critical Care Medicine, Kyorin University School of Medicine
  • Matsuda Taketo
    Department of Trauma & Critical Care Medicine, Kyorin University School of Medicine
  • Yamaguchi Yoshihiro
    Department of Trauma & Critical Care Medicine, Kyorin University School of Medicine
  • Murata Atsuo
    Department of Trauma & Critical Care Medicine, Kyorin University School of Medicine
  • Shimazaki Shuji
    Department of Trauma & Critical Care Medicine, Kyorin University School of Medicine

Bibliographic Information

Other Title
  • アマガサヘビこう症による呼吸停止の１救命例

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Description

A 40-year-old Japanese man was brought to our hospital presenting with a deterioration of consciousness and respiratory failure after being bitten by an imported snake. On admission, he was in a deep coma with generalized paralysis. Because of his difficulty in breathing, he was intubated orally and controlled mechanical ventilation was started. To identify the snake, we obtained a photocopy of the snake and transferred it to the Japan Snake Institute via E-mail. The snake was identified as Bungarus candidus, and the antivenom was transferred to our hospital by a police car. The antivenom was given 16 hours after the bite, and neostigmine was administered for 10 days. The patient recovered from the respiratory paralysis six days after admission. His muscle weakness gradually improved, and he was discharged from hospital on the 44th hospital day. He continues to complain of fatigue almost one year after the incident.

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Details 詳細情報について

  • CRID
    1390282679346720256
  • NII Article ID
    130003625908
  • DOI
    10.3893/jjaam.14.72
  • ISSN
    18833772
    0915924X
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
    • OpenAIRE
  • Abstract License Flag
    Disallowed

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