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Case Reports
. 2021 Dec 24:2021:3396373.
doi: 10.1155/2021/3396373. eCollection 2021.

Personal Experience of Daboia siamensis Envenomation

Tein-Shun Tsai  1 , Chun-Chieh Liu  2 , Po-Chun Chuang  3
Affiliations
Case Reports

Personal Experience of Daboia siamensis Envenomation

Tein-Shun Tsai et al. Case Rep Med. .

Abstract

Reports of envenomation induced by Daboia siamensis, a medically important venomous snake in Taiwan, are rare, and species identification might not be definitive. This article reports the complete course of a definite D. siamensis bite. The patient in this report was one of the authors who was bitten on the right palm near the base of the index finger by D. siamensis. The patient experienced local effects, neurological manifestations, and acute kidney injury. The laboratory analysis revealed elevated D-dimer and coagulopathy. The patient was administered 8 vials of antivenom and did not undergo surgical intervention or endotracheal tube intubation, but serum sickness occurred 8 days after antivenom administration. The horse immunoglobulin produced by the Centers for Disease Control, R. O. C. (Taiwan), against D. siamensis was effective and safe in the treatment of the patient. However, the best antivenom administration strategy remains unclear and requires further study.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
The culprit D. siamensis. A male D. siamensis originally captured from Kaohsiung City and housed in a reptile and amphibian facility; snout-vent length = 66.7 cm, tail length = 12.4 cm, bodyweight = 220 g.
Figure 2
Figure 2
Wounds of the D. siamensis bite. Wound on ((a)-(b)) day 1 and ((c)-(d)) day 2. (b), (d) Two fang bite marks and some scratches or bruises visible.
See this image and copyright information in PMC

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