Positive response to edrophonium in death adder (Acanthophis antarcticus) envenomation.
A 20-year-old Papua New Guinean male developed neuromuscular paralysis following a bite by a death adder (Acanthophis antarcticus). Ptosis persisted despite otherwise effective anti-venom therapy. The ptosis clinically resembled myasthenia gravis and improved after intravenous edrophonium. The role of anticholinesterase drugs in snake bite management is discussed.
Hudson
B J
BJ
Madang General Hospital, Madang, Papua, New Guinea.
D000328:Adult; D003937:Diagnosis, Differential; D004491:Edrophonium / Q000008:administration & dosage*; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D009157:Myasthenia Gravis / Q000175:diagnosis; D010219:Papua New Guinea; D012909:Snake Bites / Q000188:drug therapy*
D004491:Edrophonium