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https://www.readbyqxmd.com/read/29774760/safety-of-nonsteroidal-anti-inflammatory-drugs-in-copperhead-snakebite-patients
#1
Hoang X Pham, Michael E Mullins
INTRODUCTION: Current management guidelines for pit viper envenomations recommend against the use of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain control due to concern for platelet dysfunction and resulting coagulopathy. However, prior research suggests that copperhead snakes generally do not cause coagulopathy and they are responsible for most of the venomous snakebites in the USA. Thus, we compared the occurrences of clinically apparent bleeding and most abnormal laboratory values of coagulation between copperhead envenomation patients who received NSAIDs and those who did not...
May 18, 2018: Clinical Toxicology
https://www.readbyqxmd.com/read/29621529/severe-snakebite-envenomation-in-french-guiana-when-antivenom-is-not-available
#2
Hatem Kallel, Claire Mayence, Stéphanie Houcke, Cyrille Mathien, Hossein Mehdaoui, José María Gutiérrez, Bruno Megarbane, Didier Hommel, Dabor Resiere
In French Guiana, Bothrops atrox, Bothrops brazili, Bothrops bilineatus, Lachesis muta and Micrurus sp are responsible for most cases of snakebite envenomation. The clinical features in patients suffering from envenomations by viperid snakes involve local tissue damage and systemic manifestations, such as hemorrhage, coagulopathies and hemodynamic instability. We report a severe case of envenomation in a patient bitten by a large unidentified pit viper in French Guiana. Due to lack of antivenom, the patient only received symptomatic management...
April 2, 2018: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/29615942/association-between-fear-and-beauty-evaluation-of-snakes-cross-cultural-findings
#3
Eva Landová, Natavan Bakhshaliyeva, Markéta Janovcová, Šárka Peléšková, Mesma Suleymanova, Jakub Polák, Akif Guliev, Daniel Frynta
According to the fear module theory, humans are evolutionarily predisposed to perceive snakes as prioritized stimuli and exhibit a fast emotional and behavioral response toward them. In Europe, highly dangerous snake species are distributed almost exclusively in the Mediterranean and Caspian areas. While the risk of a snakebite is relatively low in Central Europe, Azerbaijan, on the other hand, has a high occurrence of the deadly venomous Levant viper ( Macrovipera lebetina ). We hypothesize that co-habitation with this dangerous snake has shaped the way in which humans evaluate snake species resembling it...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29608921/cardiac-arrest-and-atrial-fibrillation-in-a-patient-after-hump-nosed-pit-viper-hypnale-hypnale-bite
#4
R M M K Namal Rathnayaka, P E A Nishanthi Ranathunga, Janaka Ranaweera, Krishantha Jayasekara, S A M Kularatne
A 42-year-old previously healthy male patient died 16 days after a proven hump-nosed pit viper (Hypnale hypnale) envenoming due to multi-organ failure. On admission he had cardiac arrest that recovered from cardiopulmonary resuscitation then developed atrial fibrillation which was reverted to normal rhythm by application of synchronized electrical cardioversion. He also had persistent coagulopathy and thrombotic microangiopathy comprising the triad of microangiopathic haemolysis, acute kidney injury and thrombocytopenia...
March 30, 2018: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/29528146/biochemical-and-pharmacological-characterization-of-trimersurus-malabaricus-snake-venom
#5
Raghavendra Gowda, Rajesh Rajaiah, Nataraj Angaswamy, Sharath Krishna, Vishwanath Bannikuppe Sannanayak
Trimeresurus malabaricus is a venomous pit viper species endemic to southwestern part of India. In earlier reports, we have shown that envenomation by T. malabaricus venom leading to strong local tissue damage but the mechanism of action is not clearly revealed. Local tissue damage affected by T. malabaricus venom is of great importance since the poison has serious systemic effects including death in the case of multiple attacks. The present study details the major manifestations of T. malabaricus venom and the induction of local tissue damage, which suggests that most toxins are present in the form of hydrolytic enzymes...
March 12, 2018: Journal of Cellular Biochemistry
https://www.readbyqxmd.com/read/29415440/revisiting-the-therapeutic-potential-of-bothrops-jararaca-venom-screening-for-novel-activities-using-connectivity-mapping
#6
Carolina Alves Nicolau, Alyson Prorock, Yongde Bao, Ana Gisele da Costa Neves-Ferreira, Richard Hemmi Valente, Jay William Fox
Snake venoms are sources of molecules with proven and potential therapeutic applications. However, most activities assayed in venoms (or their components) are of hemorrhagic, hypotensive, edematogenic, neurotoxic or myotoxic natures. Thus, other relevant activities might remain unknown. Using functional genomics coupled to the connectivity map (C-map) approach, we undertook a wide range indirect search for biological activities within the venom of the South American pit viper Bothrops jararaca . For that effect, venom was incubated with human breast adenocarcinoma cell line (MCF7) followed by RNA extraction and gene expression analysis...
February 6, 2018: Toxins
https://www.readbyqxmd.com/read/29373218/an-iconic-pit-viper-of-the-central-american-rainforests
#7
Pablo Deschepper, Raf Aerts
No abstract text is available yet for this article.
March 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29361387/microangiopathic-hemolytic-anemia-following-three-different-species-of-hump-nosed-pit-viper-genus-hypnale-envenoming-in-sri-lanka
#8
Rathnayaka Mudiyanselage M K Namal Rathnayaka, Anusha Nishanthi Ranathunga, Senanayake A M Kularatne, Jayanthe Rajapakse, Shirani Ranasinghe, Radha Jayathunga
There are 3 species of hump-nosed pit vipers in Sri Lanka: Hypnale hypnale, Hypnale zara, and Hypnale nepa. The latter 2 are endemic to the country. Microangiopathic hemolytic anemia (MAHA) is a known complication of hump-nosed pit viper bites. It was previously documented as a complication of general viper bites and not species specific. We report a series of 3 patients who developed MAHA after being bitten by each species of hump-nosed pit viper. The first patient was bitten by H hypnale and developed a severe form of MAHA associated with acute kidney injury and thrombocytopenia falling into the category of thrombotic microangiopathy...
March 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29123914/persistent-pit-viper-envenomation-in-a-cat
#9
Igor Yankin, Michael Schaer, Matthew Johnson, Tessa Meland, Leonel A Londoño
Case summary: A 4-year-old female spayed, indoor/outdoor domestic mediumhair cat presented with multiple bleeding puncture wounds and hemorrhagic shock. The cat was diagnosed with suspected pit viper envenomation based on the location and appearance of the bite wounds, as well as the presence of severe coagulopathy with prolonged activated coagulation time (762 s), which responded to antivenom administration. The clinical course of the cat was unique owing to the prolonged clinical signs of envenomation that appeared as intermittent coagulopathy and hemorrhage over a 2 week period...
July 2017: JFMS Open Reports
https://www.readbyqxmd.com/read/29102099/white-lipped-tree-viper-cryptelytrops-albolabris-envenomation-in-an-american-viper-keeper
#10
Spencer Greene, Laura Ann Galdamez, Richard Tomasheski
BACKGROUND: Snakebites are common in many regions of the United States. Bites from exotic species, however, are rare. The white-lipped tree viper, Cryptelytrops (formerly Trimeresurus) albolabris, is a pit viper native to Southeast Asia. Bites are common in countries such as Myanmar, India, Thailand, Indonesia, and China. In this report, we describe an envenomation in an American viper keeper. CASE REPORT: A healthy 28-year-old right-handed man who collects venomous snakes experienced a bite to the distal left thumb from a neonatal C...
December 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29051104/cross-reactivity-and-lethality-neutralization-of-venoms-of-indonesian-trimeresurus-complex-species-by-thai-green-pit-viper-antivenom
#11
Choo Hock Tan, Jia Lee Liew, Nget Hong Tan, Ahmad Khaldun Ismail, Tri Maharani, Sumana Khomvilai, Visith Sitprija
Arboreal pit vipers of the Trimeresurus complex group are medically important species in Indonesia (west of Wallace's line), but there is no specific antivenom produced in the country for treating related envenomation. Instead, the exiting trivalent Indonesian antivenom, Biosave(®) Serum Anti Bisa Ular (SABU, indicated for envenoming by Malayan pit viper, Javan spitting cobra and banded krait) is often misused to treat Trimeresus envenoming resulting in poor therapeutic outcome. Here, we investigated the cross-reactivity and neutralization capability of Thai Green Pit Viper Antivenom (GPVAV) against the venoms of four Indonesian Trimeresurus species...
October 16, 2017: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/28975491/the-epidemiology-clinical-course-and-management-of-snakebites-in-the-north-american-snakebite-registry
#12
Anne-Michelle Ruha, Kurt C Kleinschmidt, Spencer Greene, Meghan B Spyres, Jeffrey Brent, Paul Wax, Angela Padilla-Jones, Sharan Campleman
The American College of Medical Toxicology established the North American Snakebite Registry (NASBR), a national database of detailed, prospectively collected information regarding snake envenomation in the United States, in 2013. This report describes the epidemiology, clinical course, and management of snakebites in the NASBR. All cases entered into the NASBR between January 1, 2013 and December 31, 2015 were identified. Descriptive statistics are used to report results. Fourteen sites in 10 states entered 450 snakebites...
December 2017: Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology
https://www.readbyqxmd.com/read/28927001/a-review-and-database-of-snake-venom-proteomes
#13
REVIEW
Theo Tasoulis, Geoffrey K Isbister
Advances in the last decade combining transcriptomics with established proteomics methods have made possible rapid identification and quantification of protein families in snake venoms. Although over 100 studies have been published, the value of this information is increased when it is collated, allowing rapid assimilation and evaluation of evolutionary trends, geographical variation, and possible medical implications. This review brings together all compositional studies of snake venom proteomes published in the last decade...
September 18, 2017: Toxins
https://www.readbyqxmd.com/read/28920799/presumptive-pit-viper-envenomation-in-psittacines-in-a-brazilian-zoo
#14
Mathias Dislich, Peter Wohlsein, Anna Sophie Croukamp, Ulrich Neumann
Snake bites represent a serious public health risk in many regions of the globe, especially in tropical areas. Clinical signs and postmortem changes are well described in human and other mammalian species. However, detailed case reports about venomous snake attacks in avian species are limited. This report describes presumptive fatal envenomations in three psittacines caused by pit vipers in a Brazilian zoo. In one case, a Brazilian lancehead (Bothrops moojeni) was captured in the aviary. In all three cases the dermis around the suspected snake bite area exhibited hemorrhages and edema...
September 2017: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
https://www.readbyqxmd.com/read/28855322/the-thermal-background-determines-how-the-infrared-and-visual-systems-interact-in-pit-vipers
#15
Qin Chen, Yang Liu, Steven E Brauth, Guangzhan Fang, Yezhong Tang
The thermal infrared (IR) sensing system of pit vipers is believed to complement vision and provide a substitute imaging system in dark environments. Theoretically, the IR system would best image a scene consisting of a homothermal target in cold surroundings as a bright spot on a dark background. To test this hypothesis, we evaluated how the pit viper (Gloydius brevicaudus) discriminates and strikes prey when the background temperature is either higher or lower than that of the prey (approximately 32-33°C) in different parts of the scene...
September 1, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28755820/prolonged-coagulopathy-ecchymoses-and-microangiopathic-hemolytic-anemia-following-hump-nosed-pit-viper-hypnale-hypnale-bite-in-sri-lanka
#16
Rathnayaka Mudiyanselage M K Namal Rathnayaka, Senanayake A M Kularatne, Anusha Nishanthi Ranathunga, Mahinda Kumarasinghe, Jayantha Rajapakse, Shirani Ranasinghe
A 74-year-old previously healthy woman was bitten by a hump-nosed pit viper (Hypnale hypnale) at dusk causing incoagulable blood lasting for 6 days. Further, she developed ecchymoses over her forearms, upper arms, hands, and lower back on day 4 after the snakebite, and microangiopathic hemolytic anemia (MAHA). Features of this nature are rare after hump-nosed pit viper bite.
September 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28735968/epidemiology-and-clinical-features-of-green-pit-viper-trimeresurus-trigonocephalus-envenoming-in-sri-lanka
#17
R M M K Namal Rathnayaka, P E A N Ranathunga, S A M Kularatne
Green pit viper is a venomous endemic snake in Sri Lanka. But little is known regarding its envenoming in the country. This study was carried out in order to find out epidemiology and clinical profile of its bites. A series of 17 patients with Sri Lankan Green pit viper (Trimeresurus trigonocephalus) bites was prospectively studied over 4 years. The mean age was 36 ½ years (range 12-61 years) and comprised 14 (82%) males. Except one case, all bites occurred during day time (0600 h-1800 h) due to inadvertent provocation...
July 21, 2017: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/28708892/cross-recognition-of-a-pit-viper-crotalinae-polyspecific-antivenom-explored-through-high-density-peptide-microarray-epitope-mapping
#18
Mikael Engmark, Bruno Lomonte, José María Gutiérrez, Andreas H Laustsen, Federico De Masi, Mikael R Andersen, Ole Lund
Snakebite antivenom is a 120 years old invention based on polyclonal mixtures of antibodies purified from the blood of hyper-immunized animals. Knowledge on antibody recognition sites (epitopes) on snake venom proteins is limited, but may be used to provide molecular level explanations for antivenom cross-reactivity. In turn, this may help guide antivenom development by elucidating immunological biases in existing antivenoms. In this study, we have identified and characterized linear elements of B-cell epitopes from 870 pit viper venom protein sequences by employing a high-throughput methodology based on custom designed high-density peptide microarrays...
July 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28704364/dramatic-and-concerted-conformational-changes-enable-rhodocetin-to-block-%C3%AE-2%C3%AE-1-integrin-selectively
#19
Johannes A Eble, Matthew McDougall, George L Orriss, Stephan Niland, Benjamin Johanningmeier, Gottfried Pohlentz, Markus Meier, Simone Karrasch, Maria Inacia Estevão-Costa, Augusto Martins Lima, Jörg Stetefeld
The collagen binding integrin α2β1 plays a crucial role in hemostasis, fibrosis, and cancer progression amongst others. It is specifically inhibited by rhodocetin (RC), a C-type lectin-related protein (CLRP) found in Malayan pit viper (Calloselasma rhodostoma) venom. The structure of RC alone reveals a heterotetramer arranged as an αβ and γδ subunit in a cruciform shape. RC specifically binds to the collagen binding A-domain of the integrin α2 subunit, thereby blocking collagen-induced platelet aggregation...
July 2017: PLoS Biology
https://www.readbyqxmd.com/read/28657429/safety-profile-of-snake-antivenom-use-in-hong-kong-a-review-of-191-cases-from-2008-to-2015
#20
Rupeng Mong, Vember C H Ng, Man Li Tse
INTRODUCTION: The mainstay of treatment for significant envenoming from snakebites is antivenom. However, there is insufficient data regarding the safety of antivenom used in Hong Kong. We describe the incidence of hypersensitivity reactions from antivenom use and review the frequency and reasons for intensive care unit (ICU) admission. METHODS: The Hong Kong Poisons Information Centre database was reviewed. All patients given snake antivenom between 2008 and 2015 were included...
December 2017: Clinical Toxicology
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