Rapid Progressive Course of Naja Naja Oxiana-bitten Patient

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RAJABI MALIHEH; DADPOUR BITA; RAHIMI PARASTOO; MOSHIRI MOHAMMAD

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Journal Paper

Paper Information

Journal: JOURNAL OF KERMAN UNIVERSITY OF MEDICAL SCIENCES Year:2022 | Volume:29 | Issue:1 Page(s): 79-83

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Title

Rapid Progressive Course of Naja Naja Oxiana-bitten Patient

Author(s)

RAJABI MALIHEH | DADPOUR BITA | RAHIMI PARASTOO | MOSHIRI MOHAMMAD | Issue Writer Certificate

Keywords

Snake Envenomation

Antivenoms

Elapid Snakes

Neurotoxin Disorders

Abstract

Cases of snakebites especially with an elapidae are considered as a medical emergency. However, in some cases of elapidae envenomation, bite signs might be unpredictable. Case: Dorsal surface of the second finger of a 39-year-old man was bitten by N. Naja Oxiana less than half hour before his admission. On arrival, patient had clear bilateral ptosis, mydriasis, reduced light reflex of pupils and sialorrhea. Other muscles power had no problem. The patient was agitated due to suffocation secondary to respiratory muscle paralysis, during half hours of hospitalization. He was intubated and mechanically ventilated. He was treated by antivenom, 10 vials as attack dose, 5 vials as repeated dose that was repeated three times and 2 vials every 8 hours as maintenance dose. He received antibiotic for local superinfection. Although, he did not receive any acetylcholinesterase inhibitors, he was extubated 48 hours later. The patient was discharged on the 7 th day in good general condition with oral antibiotic prescription and no complication except local cellulitis. In conclusion, for efficient treatment of patients bitten with elapidae, we need to find the best course of treatment using the adequate antivenom as fast as possible.

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APA: Copy

RAJABI, MALIHEH, DADPOUR, BITA, RAHIMI, PARASTOO, & MOSHIRI, MOHAMMAD. (2022). Rapid Progressive Course of Naja Naja Oxiana-bitten Patient. JOURNAL OF KERMAN UNIVERSITY OF MEDICAL SCIENCES, 29(1), 79-83. SID. https://sid.ir/paper/993528/en

Vancouver: Copy

RAJABI MALIHEH, DADPOUR BITA, RAHIMI PARASTOO, MOSHIRI MOHAMMAD. Rapid Progressive Course of Naja Naja Oxiana-bitten Patient. JOURNAL OF KERMAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2022;29(1):79-83. Available from: https://sid.ir/paper/993528/en

IEEE: Copy

MALIHEH RAJABI, BITA DADPOUR, PARASTOO RAHIMI, and MOHAMMAD MOSHIRI, “Rapid Progressive Course of Naja Naja Oxiana-bitten Patient,” JOURNAL OF KERMAN UNIVERSITY OF MEDICAL SCIENCES, vol. 29, no. 1, pp. 79–83, 2022, [Online]. Available: https://sid.ir/paper/993528/en

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