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A fatal cobra-bite in a snake expert.
M Z Hossain1, S Atiqullah, A C Saha
1Department of Medicine, Rangpur Medical College (RpMCH) and Hospital, Rangpur, Bangladesh.
Mymensingh Medical Journal : MMJ
|April 17, 2010
Summary
A snake expert in Bangladesh died from a cobra bite despite receiving anti-snake venom (ASV) and supportive care. This case highlights the critical need for rapid medical intervention following venomous snakebites.
Area of Science:
- Herpetology
- Toxicology
- Emergency Medicine
Background:
- A 35-year-old snake expert, known for establishing Bangladesh's first snake farm, managed a collection of over 100 snakes.
- His farm attracted visitors and media attention for snake handling demonstrations and venom collection.
Observation:
- The individual was accidentally bitten by a cobra while filming for a television channel.
- He presented to Rangpur Medical College Hospital 3.5 hours post-bite with developed neurotoxicity.
Findings:
- Despite prompt administration of multiple doses of anti-snake venom (ASV) and comprehensive supportive care, including respiratory support, the patient's condition deteriorated.
- The patient succumbed to the envenomation approximately 49 hours after the snakebite.
Implications:
- This case underscores the severe neurotoxic effects of cobra venom and the challenges in managing such envenomations, even with available antivenom.
- It emphasizes the importance of immediate medical attention and advanced supportive care in cases of venomous snakebites to improve patient outcomes.
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