@article{ref1,
title="Naja Kaouthia: two cases of Asiatic cobra envenomations",
journal="Journal of emergency medicine",
year="2007",
author="Khandelwal, Gautam and Katz, Kenneth D. and Brooks, Daniel E. and Gonzalez, Stephanie M. and Ulishney, Colleen D.",
volume="32",
number="2",
pages="171-174",
abstract="Envenomation from cobra bites causes major morbidity and mortality in Asia and Africa but rarely in the United States. We describe two patients bitten by the Asiatic Cobra (Naja Kaouthia)--both successfully treated in the emergency department. Patient 1 was a 23-year-old woman bitten in the buttock by her cobra. Examination demonstrated two puncture wounds. She developed cranial neuropathy, respiratory failure, and coagulopathy 10 h later, necessitating endotracheal intubation and polyvalent antivenom administration. The patient recovered fully with minimal wound necrosis. Patient 2, a 44-year-old man, was bitten on the hand by his cobra. Examination revealed a puncture wound with progressive swelling. Edrophonium and monovalent antivenom were administered, and he recovered uneventfully. These cases emphasize the varied clinical presentations of the Asiatic cobra. Patient 1 developed delayed neurotoxicity, respiratory failure, and hematotoxicity with minimal wound necrosis, whereas Patient 2 experienced a more typical clinical course.<p /><p>Language: en</p>",
language="en",
issn="0736-4679",
doi="10.1016/j.jemermed.2006.05.047",
url="http://dx.doi.org/10.1016/j.jemermed.2006.05.047"
}