Knowledge Resource Center for Ecological Environment in Arid Area
DOI | 10.1580/06-WEME-OR-078R.1 |
Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the thar desert region of Rajasthan, India | |
Kochar, D. K.; Tanwar, P. D.; Norris, Robert L.; Sabir, M.; Nayak, K. C.; Agrawal, T. D.; Purohit, V. P.; Kochar, A.; Simpson, Ian D. | |
通讯作者 | Simpson, Ian D. |
来源期刊 | WILDERNESS & ENVIRONMENTAL MEDICINE
![]() |
ISSN | 1080-6032 |
EISSN | 1545-1534 |
出版年 | 2007 |
卷号 | 18期号:2页码:75-85 |
英文摘要 | Objectives.-In India, venomous snakebite remains an enigma. Although ineffective first aid treatments that are centuries old continue to be used by people bitten by snakes, important factual information. such as the importance and uniqueness of bites by the northern saw-scaled viper (Echis sochureki), has been largely lost and forgotten. In this paper, we report the first systematically gathered data on the clinical course of envenoming by E sochureki in Rajasthan, India. Clinical information is reported on 12 victims bitten by definitively identified E sochureki, and 2 clinical cases are described in greater detail to illustrate the severity of envenoming by this snake. Methods.-A data collection form was developed and used to prospectively gather clinical information regarding patients who were bitten by E sochureki and who brought the dead snake with them to hospital. All snakes were definitively identified by an experienced herpetologist. Information on symptoms and signs, management (both first aid and hospital), and outcomes was collected. Results.-All 12 victims had evidence of systemic envenoming, including abnormal 20-minute whole blood clotting tests (with systemic bleeding in 7). All received polyvalent antivenom made, in part. with Echis carinatus venom from southern India. Antivenom was relatively ineffective in restoring coagulation to these patients. All patients survived, although I patient suffered an intracranial bleed with residual hemiparesis. Conclusions.-Echis sochureki causes severe bites in Rajasthan. Work needs to be done to alter the first aid practices used for snakebites in this area, to encourage more rapid presentation to hospital, and to develop antivenom that is more effective against E sochureki. |
英文关键词 | snake snakebite India Echis sochureki saw-scaled viper antivenom |
类型 | Article |
语种 | 英语 |
国家 | USA |
收录类别 | SCI-E |
WOS记录号 | WOS:000247641100001 |
WOS关键词 | CARINATUS ; SNAKES |
WOS类目 | Public, Environmental & Occupational Health ; Sport Sciences |
WOS研究方向 | Public, Environmental & Occupational Health ; Sport Sciences |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/156192 |
作者单位 | (1)Stanford Univ, Med Ctr, Palo Alto, CA 94304 USA |
推荐引用方式 GB/T 7714 | Kochar, D. K.,Tanwar, P. D.,Norris, Robert L.,et al. Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the thar desert region of Rajasthan, India[J],2007,18(2):75-85. |
APA | Kochar, D. K..,Tanwar, P. D..,Norris, Robert L..,Sabir, M..,Nayak, K. C..,...&Simpson, Ian D..(2007).Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the thar desert region of Rajasthan, India.WILDERNESS & ENVIRONMENTAL MEDICINE,18(2),75-85. |
MLA | Kochar, D. K.,et al."Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the thar desert region of Rajasthan, India".WILDERNESS & ENVIRONMENTAL MEDICINE 18.2(2007):75-85. |
条目包含的文件 | 条目无相关文件。 |
除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。