Shukla Ravi, Shrestha Puja, Khanal Binod, Paudyal Shraddha, Regmi Bipal
Bhim Hospital Siddharthanagar Lumbini Province Nepal.
Clin Case Rep. 2025 Jul 8;13(7):e70634. doi: 10.1002/ccr3.70634. eCollection 2025 Jul.
This case report describes a 12-year-old child who was bitten by a cobra and developed two distinct systemic neurotoxic episodes, 19 h apart, along with severe local envenoming, despite receiving appropriate treatment with antivenom and making a full recovery. It also highlights the use of neostigmine for severe symptoms and emphasizes the importance of prompt wound care to prevent long-term complications. A potentially life- and limb-threatening event was successfully avoided through an inter-departmental approach.
本病例报告描述了一名12岁儿童，被眼镜蛇咬伤后，尽管接受了抗蛇毒血清的适当治疗并完全康复，但仍出现了两次不同的全身性神经毒性发作，间隔19小时，同时伴有严重的局部中毒。报告还强调了使用新斯的明治疗严重症状的情况，并强调了及时伤口护理以预防长期并发症的重要性。通过跨部门协作的方法成功避免了一次可能危及生命和肢体的事件。
