Resolution of neurotoxicity with anticholinesterase therapy in death-adder envenomation.
A case of the reversal of death-adder (Acanthophis antarcticus) neurotoxicity by treatment with neostigmine methylsulphate in a Papua New Guinean villager is described. While antivenom remains the mainstay in the treatment of snake-bite envenomation, the possible role of anticholinesterase therapy for death-adder bites in Papua New Guinea is discussed. In addition, some problems with first-aid management are outlined.
Currie
B
B
Department of Clinical Sciences, Faculty of Medicine, University of Papua New Guinea, Boroko.
Fitzmaurice
M
M
Oakley
J
J
D000328:Adult; D000997:Antivenins / Q000627:therapeutic use; D004546:Elapid Venoms / Q000506:poisoning*; D006801:Humans; D008297:Male; D009388:Neostigmine / Q000627:therapeutic use*; D009422:Nervous System Diseases / Q000188:drug therapy* / Q000209:etiology; D012909:Snake Bites / Q000150:complications / Q000503:physiopathology / Q000628:therapy*
D000997:Antivenins; D004546:Elapid Venoms; D009388:Neostigmine