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Prolonged defibrination after a bite from a 'nonvenomous' snake.

The distinction between venomous, potentially dangerous snakes and snakes considered to be harmless to humans is not always clear. A man was bitten by an assumed harmless pet snake, Rhabdophis subminatus (the red neck keelback), that had been obtained from a pet store. The patient experienced a severe coagulopathy with life-threatening hemorrhage unresponsive to transfusion. Since this snake frequently is sold legally in the United States, we wish to alert the medical community to its potential danger and to discuss the pathophysiological mechanism by which the coagulopathy was produced.

Adult↗

Laboratory observations of aggregative behavior of garter snakes, Thamnophis sirtalis.

A laboratory model of garter snake aggregation behavior is described. Snakes tested in groups of eight established preferred shelter locations and reliably returned to these locations as a group or as individuals when the test aquaria were left undisturbed between trials. When the aquaria were cleaned and the contents were replaced on each trial, preferred shelter locations were not established over trials; however, the snakes were found under shelters in large aggregates more frequently than would be expected by chance. It appears that the snakes deposit cues in the apparatus that are subsequently used to return to preferred locations. Manipulations of various objects in the test arena strongly indicated that the relevant cues are deposited on the paper underlying the preferred shelter.

Animals↗

Snake venom antibodies in Ecuadorian Indians.

Serum samples from 223 Waorani Indians, a tribe in eastern Ecuador, were investigated by enzyme-linked immunosorbent assay for antibodies to snake venom. Seventy-eight per cent were positive, confirming the highest incidence and mortality from snake bite poisoning yet recorded in the world. Most samples were positive for more than one venom antibody. Antibodies were found to venoms of Bothrops viper in 60% of positive cases, of Micrurus coral snake in 21%, and of the bushmaster, Lachesis muta, in 18%. Further studies are needed to determine whether high venom-antibody levels afford protection against further snake envenoming.

Adolescent↗

Snake venoms affecting the haemostatic mechanism--a consideration of their mechanisms, practical applications and biological significance.

Snake venoms contain a rich variety of factors affecting the haemostatic mechanism which can be broadly classified as possessing coagulatant, anticoagulant and haemorrhagic activity. Coagulant enzymes include activators of blood coagulation factors II (prothrombin), V and X; anticoagulants include protein C activators, inhibitors of prothrombin complex formation and fibrinogenases which can be further classified according to their specificity for the alpha-, beta- and gamma-chains of fibrinogen. Intermediate between true coagulants and true anticoagulants are the thrombin-like enzymes which bring about clotting in vitro but defibrination (anticoagulation) in vivo. Snake venoms also affect platelets either by inducing or inhibiting platelet aggregation and cause haemorrhage via an action on platelets or via proteolysis of the blood vessel wall. Haemorrhagins also include inter alia, the alpha-fibrinogenases. This rich diversity of snake venom components affecting haemostasis has enabled a range of practical applications to be established including therapeutic anticogulation with thrombin-like enzymes (Ancrod and Defibrase) and laboratory tests for individual haemostatic factors (protein C, prothrombin, factor X and lupus anticoagulant). This broad spectrum of materials in snake venoms suggests some evolutionary advantage to the venom producer, not only for dispatching prey but as agents which 'spread' the venom toxins throughout the body and initiate digestion.

Animals↗

Raynaud's phenomenon and gangrene following snake envenomation.

Local necrosis and gangrene at the site of the bite are commonly observed after snake envenomation. However, Raynaud's phenomenon and gangrene occurring in a limb other than that bitten by the snake is encountered rarely. So far, there is only one report of such an episode in literature. Here we are reporting a case of patient with snake bite on the right foot following which he developed Raynaud's phenomenon of the left upper limb and dry gangrene of the tips of the left index and middle fingers. The snake was identified as Russel's viper.

Arm↗

Mortality in red-sided garter snakes, Thamnophis sirtalis parietalis, due to larval nematode, Eustrongylides sp.

Garter snakes, Thamnophis sirtalis parietalis, that had been fed wild-caught banded killifish, Fundulus diaphanus, and laboratory-bred leopard frogs, Rana pipiens, were infected by larval nematode, Eustrongylides sp; 7 of the 25 snakes died. Signs of infection in 20 snakes included subcutaneous "lumps," violent contortions, and bloody exudate, apparently from the nares. Nemotodes were collected at necropsy from beneath the skin, in the lungs, in the body cavity, and along the spinal column. Nematodes were surgically removed from subcutaneous sites in 2 garter snakes, which recovered completely.

Animals↗

Salmonella and Arizona from snakes in the Judean desert (1974-1975).

Ninety-four (77.7%) of the 121 snakes captured during the years 1974-1975 in the Judean desert were found to carry Salmonella and/or Arizona organism. Sixty-six snakes (54.4%) harboured only one serotype. From 19 animals (15.7%) both Salmonella and Arizona organisms were isolated. From 9 snakes (7.5%) 2 or 3 serotypes of Arizona were isolated. Only 27 snakes (22,3%) harboured no detectable Salmonella nor Arizona in their intestinal contents.

Animals↗

Long-term complications of snake bites to the upper extremity.

The purpose of this study was to determine long-term complications of upper-extremity snake envenomations. The records of 73 patients, who were seen for snake bites were obtained; 46 of these patients had bites to the upper extremity, and 27 had bites to the lower extremity. These patients were graded according to the severity of the bite. The snakes involved were eastern diamondback rattlesnake, coral snake, pigmy rattlesnake, water moccasin, and unknown. Fourteen of the 46 patients receiving upper extremity bites were examined by a hand surgeon and an occupational hand therapist 1 to 3.2 years after their bite. Subjective pain data, range-of-motion, intrinsic, extrinsic, finger-flexion tightness, grip strength, pinch strength and objective sensory data were collected. Four patients had continued pain and tissue atrophy at the bite site. There were no long-term sequelae from a missed compartment syndrome.

Adult↗

Snake-bites: appraisal of the global situation.

The true global incidence of envenomations and their severity remain largely misunderstood, except for a few countries where these accidents are rare or are correctly reported. Nevertheless, this information is essential for drawing up guidelines for dealing with snake-bites, to plan drug supplies, particularly antivenin, and to train medical staff on snake-bite treatments. Since the comprehensive review by Swaroop & Grab in 1954 no global survey has been carried out on snake-bite epidemiology. The present article is an attempt to draw the attention of health authorities to snake envenomations and urges them to prepare therapeutic protocols adapted to their needs.

Africa↗

A new enzyme immunoassay system suitable for field use and its application in a snake venom detection kit.

A new rapid enzyme immunoassay (EIA) field kit for the detection of antigen in clinical specimens is reported. A kit for the detection and identification of snake venom in specimens collected from envenomated patients is described as an example of such a field kit. Tabulated data were obtained from a pilot study in which kits were issued to hospitals and laboratories reporting regular admission of snake bitten patients or presentation of specimens from such patients. Questionnaires returned from participants in the trial indicated that the test configuration was highly acceptable and an excellent correlation was obtained between clinical diagnosis and the detection and identification of snake venom in specimens of blood, urine or bite-site swab washings.

Animals↗

Antivenom use, premedication and early adverse reactions in the management of snake bites in rural Papua New Guinea.

OBJECTIVE: To examine antivenom use, premedication, early adverse reactions and patient outcomes after snake bite in rural Papua New Guinea. DESIGN: Retrospective chart analysis of all admissions for snake bite with documented antivenom use at 11 rural health facilities from January 1994 to June 2004. No formal protocol was followed and there was no attempt at randomisation or blinding of prophylaxis. RESULTS: Antivenom use was documented in 136/1881 (7.2%) snake bite admissions and most (121/136: 88.9%) received a single vial. CSL Polyvalent antivenom was administered to 112/136 (82.4%). One hundred and eleven patients (81.6%) happened to have been given premedication with adrenaline and/or promethazine and/or hydrocortisone. Early adverse reactions were reported in 25 patients (18.4%) including 23 treated with polyvalent antivenom. Intravenous test doses of antivenom were given to 32 patients, none of whom had a positive test result. Subsequent adverse reactions occurred in 9 of these 32 (28.1%) patients. One death may have been attributable to anaphylaxis after polyvalent antivenom. Reaction rates were significantly (p < or = 0.005) lower in adrenaline premedicated patients (7.7%) compared to patients premedicated without adrenaline (28.3%) and unpremedicated patients (28.0%). Adrenaline premedication caused no detectable changes in vital signs. The case fatality rate was 9.6% (13/136 patients). CONCLUSIONS: Polyvalent antivenom is the main treatment for envenomation in rural health centres, and early adverse reactions are common. Adrenaline premedication appears to significantly reduce acute adverse reaction rates. Premedication with promethazine and/or hydrocortisone without adrenaline did not reduce early adverse reactions.

Adolescent↗

Immunodiagnosis of snake bite.

Management of a patient with snake bite is influenced by the nature of the offending snake. Species diagnosis based on the patient's history and physical signs is often unreliable and the possibility of making a species diagnosis by immunological means has therefore been investigated. Wound aspirates, blister fluids, sera, and urine samples from patients with snake bite were examined for the presence of species-specific venoms using immunodiffusion. A positive species diagnosis was made in 40 out of 101 patients. Immunodiagnosis was especially successful in patients bitten by the puff adder, Bitis arietans, and the African spitting cobra, Naja nigricollis. A higher success rate could probably be achieved using more specific antisera and more sensitive assay techniques.

Animals↗

Incidence, clinical manifestation and general management of snake bites.

There are regional patterns in snake-bites. Bites by cobras have a high incidence in Thailand and in the Philippines with a high case fatality rate. Among the venomous snakes of haemorrhagic nature, bites by Trimeresurus species such as green pit viper, Taiwan habu and Taiwan bamboo viper are important in Thailand and Taiwan for their high incidence of bite, although the case fatality rates are low. Bites by Malayan pit vipers are also important in Thailand and Malaysia because of their high incidence. Bites by sea snakes are more common in Malaysia than in the Philippines and Thailand.

Animals↗

Environmental and seasonal adaptations of the adrenocortical and gonadal responses to capture stress in two populations of the male garter snake, Thamnophis sirtalis.

Stress and reproduction are generally thought to work in opposition to one another. This is often manifested as reciprocal relationships between glucocorticoid stress hormones and sex steroid hormones. However, seasonal differences in how animals respond to stressors have been described in extreme environments. We tested the hypothesis that garter snakes, Thamnophis sirtalis, with limited reproductive opportunities will suppress their hormonal stress response during the breeding season relative to conspecifics with an extended breeding season. The red-sided garter snake, T.s. parietalis, of Manitoba, Canada, has a brief breeding season during which males displayed no change in either plasma levels of testosterone or corticosterone, which were both elevated above basal levels, in response to capture stress. During the summer, capture stress resulted in increased plasma corticosterone and decreased testosterone. During the fall, when mating can also occur, males exhibited a significant decrease in testosterone but no increase in corticosterone in response to capture stress. The red-spotted garter snake, T.s. concinnus, of western Oregon, has an extended breeding season during which males displayed a stress response of increased plasma corticosterone and decreased testosterone levels. The corticosterone response to capture stress was similar during the spring, summer, and fall. In contrast, the testosterone response was suppressed during the summer and fall when gametogenesis was occurring. These data suggest that male garter snakes, in both populations, seasonally adapt their stress response but for different reasons and by potentially different mechanisms. J. Exp. Zool. 289:99-108, 2001.

Adaptation, Physiological↗

Sexual size dimorphism and growth plasticity in snakes: an experiment on the Western Diamond-backed Rattlesnake (Crotalus atrox).

We conducted an experiment to examine the effects of sex and food intake on growth, mass gain, and attainment of sexual maturity in Western Diamond-backed Rattlesnakes (Crotalus atrox). We also measured testosterone levels to determine whether testosterone might be involved in the male-biased sexual size dimorphism observed in this species. We collected neonate rattlesnakes and raised them in the laboratory for 2 years on either a high-intake diet (fed one mouse per week) or a low-intake diet (fed one mouse every 3 weeks). High-intake snakes grew and gained mass more rapidly than low-intake snakes, but males did not grow or gain mass more rapidly than females in either treatment group. High-intake snakes attained reproductive maturity earlier than low-intake snakes, indicating that size, not age, is the critical determinant of reproductive maturity. Males had higher levels of testosterone than females but did not grow more quickly, suggesting that testosterone may not affect growth in this species and may therefore not be the proximate determinant of sexual size dimorphism.

Animal Nutritional Physiological Phenomena↗

Variation in seasonal ultrastructure of sexual granules in the renal sexual segment of the Northern Water Snake, Nerodia sipedon sipedon.

The renal sexual segment of the kidney (RSS) can be found in many male squamate reptiles, encompassing the distal region of the nephron and, in some cases, collecting ducts. This sexually dimorphic structure exhibits varying degrees of hypertrophy and regression throughout the year. Although researchers have been aware of and have investigated this unique structure for over a century, its ultimate function remains under discussion. In many studies hypertrophy and regression of the RSS have been correlated with testicular activity and androgen secretion. As in most of the snakes studied to date, the male Northern Water Snake (Nerodia s. sipedon) does not exhibit a dramatic cycle of hypertrophy and regression, as reported in lizards. Following the initial hypertrophy at maturity, the male Northern Water Snake maintains a level of RSS hypertrophy throughout the year. Variations in the appearance and makeup of the sexual granules provide an identifiable and quantifiable seasonal pattern that can be correlated with the concentration of plasma androgens. In the Northern Water Snake, plasma androgens are elevated upon emergence and the RSS epithelial cells are filled with solid granules. As androgen levels decline during spring, sexual granule content appears to be breaking down (utilized?), becoming diffuse in appearance. By mid- to late summer androgen synthesis is at a maximum, increasing circulating androgens and stimulating the development and return of the solid granules. This study utilized electron microscopy and steroid radioimmunoassay to examine seasonal cycles of sex granules, in terms of development, maintenance, and regression, correlated with plasma androgen concentration. In addition, this investigation provides evidence of a possible secondary source of androgen secretion.

Androgens↗

The consistency of individual differences in behaviour: temperature effects on antipredator behaviour in garter snakes.

Differences among individuals are necessary for natural selection to occur. The extent and expression of these differences can limit the power of selection to cause evolutionary change. When individuals inconsistently express a trait, selection is less powerful. Labile traits such as behaviour are most likely to be inconsistent in their expression, because of the substantial role of environmental factors in their immediate expression. Previous work has focused on the consistency, or repeatability, of individual behaviour across different environments or within a single environment; little is known about how repeatability within an environment changes across environments. To address this issue, we examined the consistency of antipredator behaviour in juvenile garter snakes in different thermal environments. A group of 59 laboratory-born garter snakes Thamnophis ordinoides, was repeatedly assayed for sprint speed, distance crawled, and number of reversals performed during flight and antipredator display. Antipredator display showed very little variation and could not be analysed. Each individual was tested three times at each of three temperatures chosen to span the range of temperatures that snakes encounter in the field (15, 22.5, 30 degrees C). Temperature had substantial effects on the average expression of each behaviour; snakes crawled more slowly, for shorter distances, and performed fewer reversals at cooler temperatures. Individuals showed significant consistency in their behaviour, and this consistency of expression was not affected by temperature. Copyright 1999 The Association for the Study of Animal Behaviour.

Journal Article↗

Immunohistochemistry and tinctorial affinity of adenohypophysial cells of the rat snake Ptyas mucosus (Colubridae).

Immunocharacteristics of the adenohypophysial cells of the rat snake Ptyas mucosus (Colubridae) were studied with an unlabeled antibody enzyme technique (PAP method) using rabbit antisera against mammalian/synthetic hypophysial hormones. Adenohypophysial cells were identified on the basis of their specific immunoreactivity with various heterologous antisera. As in other reptiles, there was regional localization of pars distalis (PD) cell types in this snake. The gonadotropic (GTH) cells were identified by their specific immunoreactivity with anti-porcine (p)LH beta serum and were distributed uniformly throughout the PD. The thyrotropic (TSH) cells, recognized by their specific immunoreactivity with anti-human (h)TSH beta serum, were found in the medial PD. The prolactin (PRL) and growth hormone (GH) cells were revealed by their specific immunoreactivity with anti-ovine (o)PRL and anti-hGH sera, respectively; the former were confined to the anterior two-thirds of the PD, and the latter were restricted to the posterior third of the PD. The corticotropic (ACTH) cells, identified by their specific immunoreactivity with the anti-ACTH1-24 serum, were localized in the anterior two-thirds of the PD. Though both ACTH and PRL cells were confined to the same area of the PD, they could be distinguished by their distinctive morphology and distribution pattern. Cells of the pars intermedia were revealed by their immunoreactivity to anti-alpha MSH (melanophore-stimulating hormone) and anti-ACTH1-24 sera. Among each adenohypophysial cell type, there was variation in the intensity of immunoreactivity and morphological features, which may be due to their heterogeneity, reflecting various stages of cellular activity. Unlike most other snake species, the occurrence of a rudimentary pars tuberalis in P. mucosus containing a few immunoreactive GTH and TSH cells appeared to be a novel finding. The occurrence of the PRL-like and TSH-like immunoreactivity seen in certain neuronal perikarya and fibers of the hypothalamus and median eminence conforms with earlier observations in other tetrapods. To resolve certain discrepancies in the literature, the tinctorial affinities of immunohistochemically identified adenohypophysial cell types of P. mucosus were studied using various conventional staining methods and were compared with those of other reptilian species studied earlier, including snakes of the family Colubridae.

Adrenocorticotropic Hormone↗