Arboreal green pit vipers (genus Trimeresurus) of South-East Asia: bites by T. albolabris and T. macrops in Thailand and a review of the literature

Transactions of the Royal Society of Tropical Medicine and Hygiene
R A HuttonR E Phillips

Abstract

In Thailand 29 patients were proved to have been bitten by arboreal green pit vipers: 24 by Trimeresurus albolabris and 5 by T. macrops. They were studied in order to define the clinical effects of envenoming, to characterize the haemostatic abnormalities and assess the efficacy of Thai Red Cross antivenom. T. macrops caused only local painful swelling, neutrophil leucocytosis and thrombocytopenia. T. albolabris caused more severe envenoming with local blistering and necrosis, shock, spontaneous systemic bleeding, defibrination, thrombocytopenia and leucocytosis. There was no evidence of disseminated intravascular coagulation, but fibrinolytic activity was increased. Platelet function was normal. The product of admission venom antigen concentration and the delay between bite and admission was significantly higher in defibrinated patients than in those without severe coagulopathy. Antivenom (5 ampoules intravenously) restored blood coagulability, but there was persistent venom antigenaemia, associated in some cases with recurrent coagulopathy. The literature on bites by south Asian green pit vipers of the genus Trimeresurus is reviewed; these bites are common medical problems and causes of morbidity. The identification of indivi...Continue Reading

References

Dec 1, 1979·British Journal of Haematology·T R IttyerahL A Sherman
Nov 1, 1989·The American Journal of Tropical Medicine and Hygiene·S VisudhiphanA Piankijagum
Aug 1, 1988·The British Journal of Surgery·S ChittmittrapapS Chomdej
Aug 1, 1988·British Journal of Haematology· Than-ThanD A Warrell
Jan 1, 1986·Toxicon : Official Journal of the International Society on Toxinology·M HoA Voller
May 1, 1986·The American Journal of Tropical Medicine and Hygiene·M HoS Vejcho
Sep 1, 1972·Archivum Histologicum Japonicum = Nihon Soshikigaku Kiroku·D Sottovia-FilhoM C Leite-Ribeiro
Jan 1, 1981·American Journal of Clinical Pathology·S VisudhiphanM Trishnananda

❮ Previous
Next ❯

Citations

Jan 1, 1992·Transactions of the Royal Society of Tropical Medicine and Hygiene·D A WarrellR A Hutton
Jan 1, 1992·Transactions of the Royal Society of Tropical Medicine and Hygiene·C ViravanD A Warrell
Feb 10, 2006·Transactions of the Royal Society of Tropical Medicine and Hygiene·Ponlapat RojnuckarinTanin Intragumtornchai
Dec 12, 2001·Toxicon : Official Journal of the International Society on Toxinology·O KhowV Sitprija
Mar 1, 1997·Toxicon : Official Journal of the International Society on Toxinology·W WüsterD A Warrell
Jun 1, 1997·Toxicon : Official Journal of the International Society on Toxinology·R F Clark, T M Davidson
Apr 29, 1999·Toxicon : Official Journal of the International Society on Toxinology·P RojnuckarinD Swasdikul
Jul 15, 1997·Thrombosis Research·I S Sano-MartinsR D Theakston
May 23, 2012·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Qiyi HeXiaodong Yu
Jun 17, 2003·Journal of Toxicology. Clinical Toxicology·David G Lalloo, R David G Theakston
Oct 11, 2011·Comparative Biochemistry and Physiology. Part B, Biochemistry & Molecular Biology·Nget Hong TanYeannie Hui Yeng Yap
Jan 30, 2010·Lancet·David A Warrell
Apr 22, 2015·Wilderness & Environmental Medicine·Watchareewan SontichaiRungrote Natesirinilkul
Oct 24, 2014·PLoS Neglected Tropical Diseases·Kalana Maduwage, Geoffrey K Isbister
Aug 26, 2006·Toxicon : Official Journal of the International Society on Toxinology·Bart J Currie
Jun 1, 2005·Toxicon : Official Journal of the International Society on Toxinology·Julian White
Jul 15, 2006·Transactions of the Royal Society of Tropical Medicine and Hygiene·J K JosephD A Warrell
Feb 22, 2017·Toxicon : Official Journal of the International Society on Toxinology·R M M K Namal RathnayakaP E A N Ranathunga
Jun 10, 1998·Toxicon : Official Journal of the International Society on Toxinology·W WüsterD A Warrell
Jun 29, 2017·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Rupeng MongMan Li Tse
Nov 1, 1992·Human & Experimental Toxicology·C Köppel, F Martens
Jan 9, 2020·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Rittirak Othong, Piyathida Keeratipornruedee
Aug 4, 2020·The Journal of Venomous Animals and Toxins Including Tropical Diseases·Choo Hock TanKae Yi Tan
Aug 18, 2020·Therapeutics and Clinical Risk Management·Suthimon ThumtechoWinai Wananukul
Apr 1, 1994·Annals of Tropical Medicine and Parasitology·T Y Chan, J A Critchley
May 5, 2021·Emergency Medicine Australasia : EMA·Suppanut Kriengkrairut, Rittirak Othong
Jun 10, 2021·Journal of Multidisciplinary Healthcare·Xuan Thi DangHung Tran Ha
Dec 24, 2005·Toxicon : Official Journal of the International Society on Toxinology·Ponlapat RojnuckarinTanin Intragumtornchai
Jul 27, 2021·Comparative Biochemistry and Physiology. Part D, Genomics & Proteomics·Louisa Pernee LeeChoo Hock Tan
Mar 25, 2019·Toxicon : Official Journal of the International Society on Toxinology·Joan FuchsStefan Weiler
Jun 26, 2020·Toxicon : Official Journal of the International Society on Toxinology·Louisa Pernee LeeChoo Hock Tan

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.