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Positive response to edrophonium in death adder (Acanthophis antarcticus) envenomation
1Madang General Hospital, Madang, Papua, New Guinea.
Abstract:
A 20-year-old Papua New Guinean male developed neuromuscular paralysis following a bite by a death adder (Acanthophis antarcticus). Ptosis persisted despite otherwise effective anti-venom therapy. The ptosis clinically resembled myasthenia gravis and improved after intravenous edrophonium. The role of anticholinesterase drugs in snake bite management is discussed.