A bite by the Twin-Barred Tree Snake, Chrysopelea pelias (Linnaeus, 1758)

Ahmad Khaldun Ismail, Scott A. Weinstein, Mark Auliya, Dazlin Masdiana Sabardin, Teodoro J. Herbosa, Ismail Mohd. Saiboon, Julian White

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction. The Twin-Barred Tree Snake, Chrysopelea pelias, is a colubrine that, like other members of the genus Chrysopelea, is able to glide in the arboreal strata. Little is known about the effects of its bite. This report is the first clinically documented bite by this relatively uncommon rear-fanged species. Case report. The patient was a 19-year-old female who arrived at the Emergency Department (ED) of an urban teaching hospital 6 h after being bitten by a snake that was later provisionally identified as a C. pelias. Noted on presentation were bite marks on the right middle toe with minimal inflammation and tenderness. There was slight numbness over the dorsum of the right foot and discomforting sensation radiating up the thigh that persisted for several days. There was mild pyrexia, but no evidence of any systemic effects. The full blood count did show neutrophil leucocytosis, and transient hemoglobinuria was noted in an initial urine analysis. Discussion. The properties of Duvernoy's secretion of C. pelias remain uncharacterized. In this case, the clinical course featured only the local effects noted above. However, the significant local pain reported by the patient suggests that bites by C. pelias are not necessarily trivial and do require full evaluation and observation in a medical facility. Discussed also is the importance of the establishment of a national registry for animal bites and stings in Malaysia. Conclusion. Such a facility could expedite safe and appropriate management of envenomed patients.

Original languageEnglish
Pages (from-to)222-226
Number of pages5
JournalClinical Toxicology
Volume48
Issue number3
DOIs
Publication statusPublished - Mar 2010

Fingerprint

Snakes
Bites and Stings
Teaching
Animals
Blood
Hemoglobinuria
Hypesthesia
Malaysia
Urban Hospitals
Leukocytosis
Toes
Thigh
Teaching Hospitals
Registries
Hospital Emergency Service
Foot
Neutrophils
Fever
Observation
Urine

Keywords

  • Chrysopelia pelias
  • Emergency Department
  • Snake bite
  • Twin-Barred Tree Snake

ASJC Scopus subject areas

  • Toxicology

Cite this

A bite by the Twin-Barred Tree Snake, Chrysopelea pelias (Linnaeus, 1758). / Ismail, Ahmad Khaldun; Weinstein, Scott A.; Auliya, Mark; Sabardin, Dazlin Masdiana; Herbosa, Teodoro J.; Mohd. Saiboon, Ismail; White, Julian.

In: Clinical Toxicology, Vol. 48, No. 3, 03.2010, p. 222-226.

Research output: Contribution to journalArticle

Ismail, Ahmad Khaldun ; Weinstein, Scott A. ; Auliya, Mark ; Sabardin, Dazlin Masdiana ; Herbosa, Teodoro J. ; Mohd. Saiboon, Ismail ; White, Julian. / A bite by the Twin-Barred Tree Snake, Chrysopelea pelias (Linnaeus, 1758). In: Clinical Toxicology. 2010 ; Vol. 48, No. 3. pp. 222-226.
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