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dc.contributor.authorSai-Sein-Lin-Oo
dc.contributor.authorMyat-Thet-Nwe
dc.contributor.authorKhin-Maung-Gyi
dc.contributor.authorThan-Aye
dc.contributor.authorMi-Mi-Khine
dc.contributor.authorMyat-Myat-Thein
dc.contributor.authorMyo-Thant
dc.contributor.authorPyae-Phyo-Aung
dc.contributor.authorOakkar-Kyaw-Khant
dc.contributor.authorAye-Zarchi-San
dc.contributor.authorDu-Wun-Moe
dc.contributor.authorHtay-Aung
dc.contributor.authorO'Shea, Mark
dc.contributor.authorMahmood, Mohammed Afzal
dc.contributor.authorPeh, Chen Au
dc.contributor.authorWhite, Julian
dc.contributor.authorWarrell, David A.
dc.date.accessioned2020-11-25T12:48:11Z
dc.date.available2020-11-25T12:48:11Z
dc.date.issued2020-06-03
dc.identifier.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.en
dc.identifier.issn0041-0101en
dc.identifier.pmid32504626 (pubmed)
dc.identifier.doi10.1016/j.toxicon.2020.05.023en
dc.identifier.urihttp://hdl.handle.net/2436/623793
dc.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.en
dc.description.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.en
dc.formatapplication/pdfen
dc.languageeng
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttps://www.sciencedirect.com/science/article/abs/pii/S0041010120302543?via%3Dihub#!en
dc.subjectNaja mandalayensisen
dc.subjectNaja kaouthia, spitting cobraen
dc.subjectVenom ophthalmiaen
dc.subjectNeurotoxic envenomingen
dc.subjectLocal necrosisen
dc.subjectAntivenomen
dc.subjectUpper Myanmaren
dc.titleClinical importance of the Mandalay spitting cobra (Naja mandalayensis) in Upper Myanmar – Bites, envenoming and ophthalmiaen
dc.typeJournal articleen
dc.identifier.eissn1879-3150
dc.identifier.journalToxiconen
dc.date.updated2020-11-19T13:23:05Z
dc.contributor.institutionDepartment of Zoology, Kyaing Tong University, Keng Tung, Myanmar.
pubs.place-of-publicationEngland
dc.date.accepted2020-05-27
rioxxterms.funderUniversity of Wolverhamptonen
rioxxterms.identifier.projectUOW25112020MOen
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2021-06-03en
dc.source.volume184
dc.source.beginpage39
dc.source.endpage47
dc.description.versionPublished version
refterms.dateFCD2020-11-25T12:43:17Z
refterms.versionFCDAM


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