Clinical importance of the Mandalay spitting cobra (Naja mandalayensis) in Upper Myanmar – Bites, envenoming and ophthalmia
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Mahmood, Mohammed Afzal
Peh, Chen Au
Warrell, David A.
MetadataShow full item record
Abstract© 2020 Elsevier Ltd Examination of 18 cobras brought to three hospitals in the Mandalay Region by patients bitten or spat at by them distinguished 3 monocled cobras (Naja kaouthia) and 15 Mandalay spitting cobras (N. mandalayensis), based on their morphological characteristics. We confirm and extend the known distributions and habitats of both N. mandalayensis and N. kaouthia in Upper Myanmar. Clinical symptoms of local and systemic envenoming by N. mandalayensis are described for the first time. These included local swelling, blistering and necrosis and life-threatening systemic neurotoxicity. More information is needed about the clinical phenotype and management of bites by N. mandalayensis, the commoner of the two cobras in Upper Myanmar. Since the current cobra antivenom manufactured in Myanmar has lower pre-clinical efficacy against N. mandalayensis than N. kaouthia, there is a need for more specific antivenom therapy.
CitationSai-Sein-Lin-Oo et al. (2020) Clinical importance of the Mandalay spitting cobra (Naja mandalayensis) in Upper Myanmar–Bites, envenoming and ophthalmia, Toxicon, 184, pp. 39-47.
PubMed ID32504626 (pubmed)
DescriptionThis is an accepted manuscript of an article published by Elsevier in Toxicon on 03/06/2020, available online: https://doi.org/10.1016/j.toxicon.2020.05.023 The accepted version of the publication may differ from the final published version.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/
- Clinical importance of the Mandalay spitting cobra (Naja mandalayensis) in Upper Myanmar - Bites, envenoming and ophthalmia.
- Authors: Sai-Sein-Lin-Oo, Myat-Thet-Nwe, Khin-Maung-Gyi, Than-Aye, Mi-Mi-Khine, Myat-Myat-Thein, Myo-Thant, Pyae-Phyo-Aung, Oakkar-Kyaw-Khant, Aye-Zarchi-San, Du-Wun-Moe, Htay-Aung, O'Shea M, Mahmood MA, Peh CA, White J, Warrell DA
- Issue date: 2020 Sep
- Species-specific and geographical variation in venom composition of two major cobras in Indian subcontinent: Impact on polyvalent antivenom therapy.
- Authors: Mukherjee AK
- Issue date: 2020 Dec
- Comparative venomics and preclinical efficacy evaluation of a monospecific Hemachatus antivenom towards sub-Saharan Africa cobra venoms.
- Authors: Sánchez A, Segura Á, Pla D, Munuera J, Villalta M, Quesada-Bernat S, Chavarría D, Herrera M, Gutiérrez JM, León G, Calvete JJ, Vargas M
- Issue date: 2021 May 30
- Characteristics and significance of "green snake" bites in Myanmar, especially by the pit vipers Trimeresurus albolabris and Trimeresurus erythrurus.
- Authors: Thein MM, Rogers CA, White J, Mahmood MA, Weinstein SA, Nwe MT, Thwin KT, Zaw A, Thant M, Oo SSL, Gyi KM, Warrell DA, Alfred S, Peh CA
- Issue date: 2021 Nov