Evidence map›Paper›PMID 40636341›Full record

ArticleClinical case reports2025

One Bite, Two Severe Envenomations Despite Antivenom Therapy: A Case Report.

Ravi Shukla, Puja Shrestha, Binod Khanal, Shraddha Paudyal, Bipal Regmi

Abstract read
In one paragraph

Article in Clinical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ravi ShuklaBhim Hospital Siddharthanagar Lumbini Province Nepal.ORCID https://orcid.org/0009-0006-6458-2160
Puja ShresthaBhim Hospital Siddharthanagar Lumbini Province Nepal.
Binod KhanalBhim Hospital Siddharthanagar Lumbini Province Nepal.
Shraddha PaudyalBhim Hospital Siddharthanagar Lumbini Province Nepal.
Bipal RegmiBhim Hospital Siddharthanagar Lumbini Province Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report describes a 12-year-old child who was bitten by a cobra and developed two distinct systemic neurotoxic episodes, 19 h apart, along with severe local envenoming, despite receiving appropriate treatment with antivenom and making a full recovery. It also highlights the use of neostigmine for severe symptoms and emphasizes the importance of prompt wound care to prevent long-term complications. A potentially life- and limb-threatening event was successfully avoided through an inter-departmental approach.

Indexed as

case reportchildrecurrent envenomationsnake bites

Identifiers

PMID40636341
PMCPMC12238311

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.