ArticleTherapeutics and clinical risk management2018
Krait envenomation in Thailand.
Article in Therapeutics and clinical risk management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 30 citations in OpenAlex.
- Clinical Characteristics and Outcomes of Asian Coral Snake Bites in Thailand: A Retrospective Cohort Study.Toxins · 2026Article
- Proteomic Profiling of Venoms fromToxins · 2024Article
- Urgent administration of antivenom following proven krait bites in Southeast Asia irrespective of neurotoxic symptoms.PLoS neglected tropical diseases · 2024Article
- Clinical Laboratory Investigations and Antivenom Administration after Malayan Pit Viper (Calloselasma rhodostoma) Envenoming: A Retrospective Study from Southernmost Thailand.The American journal of tropical medicine and hygiene · 2024Article
- Article
- Neurological and neuro-ophthalmological manifestations of snake bite: a systematic review.Annals of medicine and surgery (2012) · 2024Review
- A Retrospective Cohort Study of Cobra Envenomation: Clinical Characteristics, Treatments, and Outcomes.Toxins · 2023Article
- Molecular phylogeny reveals distinct evolutionary lineages of the banded krait, Bungarus fasciatus (Squamata, Elapidae) in Asia.Scientific reports · 2023Review
- Article
- Estimating economic and disease burden of snakebite in ASEAN countries using a decision analytic model.PLoS neglected tropical diseases · 2022Article
- Malayan kraits (Bungarus candidus) show affinity to anthropogenic structures in a human dominated landscape.Scientific reports · 2022Article
- Managing snakebite.BMJ (Clinical research ed.) · 2022Review
- Promoting co-existence between humans and venomous snakes through increasing the herpetological knowledge base.Toxicon: X · 2021Article
- Endocrine and Metabolic Manifestations of Snakebite Envenoming.The American journal of tropical medicine and hygiene · 2020Review
- Variations in neurotoxicity and proteome profile of Malayan krait (Bungarus candidus) venoms.PloS one · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThree species in the genus MATERIALS AND
methodsThe data of krait envenomation cases that occurred during a 9-year period were obtained from the Ramathibodi Poison Center Toxic Exposure Surveillance System and retrospectively analyzed.
resultsIn total, 78 cases of krait envenomation were included. Most patients were male (59.0%) and the median age was 28 years. All had minimal local effects. The median duration from the bite to the onset of neurological manifestations was 3 hours (range, 0.5-8 hours). Besides neurological effects, the patients also developed high blood pressure (67.4%), tachycardia (61.7%), hypokalemia (55.3%), and hyponatremia (17.6%). Severe hyponatremia (<120 mEq/L) was noted in four pediatric patients. Other clinical manifestations were bradycardia, abdominal pain, and rhabdomyolysis. The mortality rate was 6.4%, and all deaths occurred from
conclusionAlthough krait bites caused only minimal local effects, the mortality rate was still high, particularly from Malayan krait bites. Besides neurological effects, other clinical manifestations were high blood pressure, tachycardia, hypokalemia, and hyponatremia. Thus, vital signs and electrolytes should be frequently and closely monitored in these patients. Apart from antivenom treatment, adequate supportive care including management of complications might help to decrease the mortality rate.
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