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[Snakebite---intoxication by cobra venom].

C Frigg1, T Sieber, O Paganoni

  • 1Institut für Anästhesiologie, Rätisches Kantons- und Regionalspital, 7000 Chur, Schweiz. c.frigg@freesurf.ch

Der Anaesthesist
|January 5, 2002
PubMed
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A private reptile breeder survived a severe cobra envenomation after prompt medical care, including cardiopulmonary resuscitation and antivenom administration. This case highlights the critical importance of rapid medical intervention for exotic snake bites.

Area of Science:

  • Herpetology
  • Toxicology
  • Emergency Medicine

Context:

  • A private exotic snake breeder experienced a severe envenomation from a cobra bite near the ear.
  • The patient presented with unstable hemodynamics, requiring immediate emergency medical services and transport.
  • The envenomation led to a critical state, necessitating intubation and vasoactive support.

Purpose:

  • To document the clinical course and management of a severe cobra envenomation.
  • To emphasize the critical role of timely antivenom therapy and intensive care in managing neurotoxic snakebites.
  • To highlight the potential for recovery from life-threatening snakebite incidents with appropriate medical intervention.

Summary:

  • The patient underwent cardiopulmonary resuscitation during transport and required intubation and vasoactive medications upon hospital admission.

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  • Transfer to a university hospital facilitated the administration of multiple antivenom doses, leading to the patient regaining consciousness after 4 days of coma.
  • Local angioedema and necrosis developed at the bite site, but surgical intervention was not required; the patient recovered fully within 8 days.

    • Impact:

    • This case underscores the potentially severe systemic effects of exotic snakebites, even from seemingly localized initial symptoms.
    • It reinforces the necessity of rapid medical response, including advanced life support and prompt antivenom administration, for improving outcomes in envenomation cases.
    • The successful recovery demonstrates the efficacy of modern medical management protocols for severe snakebite injuries.