AJTMH Transactions of the Royal Society of Tropical Medicine and Hygiene
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Am. J. Trop. Med. Hyg., 28(1), 1979, pp. 165-166
Copyright © 1979 by The American Society of Tropical Medicine and Hygiene

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Clinical Manifestations of Cobra Bite in the Thai Farmer

Mukda Trishnananda, Pairoj Oonsombat, Boonyuan Dumavibhat, Sararat Yongchaiyudha AND Viravidth Boonyapisit
Department of Preventive and Social Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 7, Thailand

Twenty cases of cobra bite in farmers from the central region of Thailand are reported. Ptosis is the earliest sign of cobra bite and is an important diagnostic indication of systemic poisoning. Restlessness, irregular breathing and mental confusion are warning signs of respiratory paralysis. Antivenom for cobra bite was administered intravenously together with symptomatic and supportive treatment; 19 patients survived and 1 died from cerebral anoxia.

Accepted for publication October 28, 1977.






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Copyright © 1979 by the American Society of Tropical Medicine and Hygiene.