@article{ref1,
title="Bitten by an exotic venomous snake",
journal="Nederlands Tijdschrift voor Geneeskunde",
year="2017",
author="Dijkman, M. A. and de Vries, I. and van Dam, M. and de Lange, D. W.",
volume="161",
number="",
pages="D822-D822",
abstract="BACKGROUND: Patients who have been bitten by an exotic venomous snake are at risk of severe morbidity and a fatal outcome following an incorrect risk-assessment. Treatment with an antivenom can be necessary and can turn out to be lifesaving. In the Netherlands there are only a few cases of bites from exotic venomous snakes each year. CASE DESCRIPTION: A 28-year-old man presented at the emergency department (ED) after having been bitten by a monocled cobra (Naja kaouthia). Here he developed severe neurotoxicity with respiratory insufficiency requiring intubation and mechanical ventilation. The patient was successfully treated with an antivenom. <br><br>CONCLUSION: An exotic snakebite victim is always a medical emergency. With early presentation at the ED, proper assessment, treatment and the availability of antivenom from the National Serum Depot, this will not necessarily cause insurmountable problems.<p /> <p>Language: nl</p>",
language="nl",
issn="0028-2162",
doi="",
url="http://dx.doi.org/"
}