Treatment of the first known case of king cobra envenomation in the United Kingdom, complicated by severe anaphylaxis.
We report the first known case of envenomation following snake bite by a king cobra in the UK. The patient required tracheal intubation and ventilation. Treatment with king cobra antivenom resulted in anaphylaxis (bronchospasm and hypotension), requiring adrenaline infusion. The patient's trachea was extubated 11 h after administration of antivenom.
Veto
T
T
Department of Anaethetics and Intensive Care, Frenchay Hospital, Beckspool Road, Frenchay, Bristol BS16 1JE, UK.
Price
R
R
Silsby
J F
JF
Carter
J A
JA
D000328:Adult; D000707:Anaphylaxis / Q000139:chemically induced* / Q000628:therapy; D000997:Antivenins / Q000008:administration & dosage / Q000009:adverse effects*; D004546:Elapid Venoms / Q000506:poisoning*; D006801:Humans; D007263:Infusions, Parenteral; D007442:Intubation, Intratracheal / Q000379:methods; D008297:Male; D012121:Respiration, Artificial / Q000379:methods; D012909:Snake Bites / Q000188:drug therapy* / Q000453:epidemiology; D006113:United Kingdom / Q000453:epidemiology
D000997:Antivenins; D004546:Elapid Venoms