title: Black mamba dendroaspis polylepis bite: a case report.
abstract: Although very rare in a European context, a bite from the black mamba           Dendroaspis polylepis is an event that poses an immediate threat to life. Given           the content of neurotoxins in the snake's venom, the mortality of envenomation           reaches 100% in almost every case if ventilation is not provided in a timely           manner and adequate therapy initiated. The report describes a case of a snake           breeder being envenomed. This 31-year-old man was bitten by a black mamba           on his finger, and who subsequently developed clinical symptoms of envenoming           typical for the species. Thanks to mechanical ventilation being employed promptly,           with myorelaxation during generalized muscle fasciculations, and particularly           owing to the eventual antivenin therapy, the patient's condition settled without           consequences. In addition to describing the given case in detail, the paper discusses           the composition and mechanisms of action of black mamba venom, while providing           guidelines for adequate therapy.
authors.affiliation: Department of Anesthesiology and Intensive Care, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic.
authors.forename: J
authors.initials: J
authors.lastname: Závada
authors.forename: J
authors.initials: J
authors.lastname: Valenta
authors.forename: O
authors.initials: O
authors.lastname: Kopecký
authors.forename: Z
authors.initials: Z
authors.lastname: Stach
authors.forename: P
authors.initials: P
authors.lastname: Leden
mesh_terms: D000328:Adult; D000818:Animals; D000997:Antivenins / Q000627:therapeutic use; D004546:Elapid Venoms; D017815:Elapidae; D006801:Humans; D008297:Male; D012909:Snake Bites / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy
chemical_list: D000997:Antivenins; D004546:Elapid Venoms