Diversity and antibiotic resistance profiles of bacteria isolated from the oral cavity of captive snakes

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  Diversity and antibiotic resistance profiles of bacteria isolated from the oral cavity of captive snakes Abstract Venomous snake bites are a global public health issue, causing between 81 000 and 138 000 annual deaths and 400 000 permanent disabilities. This study investigated the oral bacterial diversity and antibiotic resistance profiles in captive  Viperidae  snakes. Oral swabs from 48 specimens across four species ( Porthidium lansbergii ,  Bothriechis nigroviridis ,  Cerrophidion sasai , and  Bothrops asper ) were analyzed using culture-dependent methods. Bacterial isolation and identification using the VITEK 2 automated system revealed 41 strains from 12 genera, predominantly Gram-negative bacteria, including  Morganella morganii  (11 isolates) and  Providencia rettgeri  (10 isolates). Antibiotic susceptibility testing demonstrated significant resistance patterns, with 100% resistance to cephalothin and cefazolin i...

Chronic health manifestations following hump-nosed pit viper (Hypnale spp.) bites: an authenticated case series

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By Buddhika.jm (Buddhika Mawella) - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=56418341

Chronic health manifestations following hump-nosed pit viper (Hypnale spp.) bites: an authenticated case series

Background

Hump-nosed pit vipers (genus Hypnale) are the most common cause of venomous snakebites in Sri Lanka, accounting for more than one-third of all snakebites, as they are widely distributed throughout the country. It is a highly medically important snake in Sri Lanka. Even though several life-threatening complications, including venom-induced consumption coagulopathy, acute kidney injury, venom-induced thrombotic microangiopathy and cardiac effects, are reported following their bites, no antivenom is currently available for Hypnale - envenomed patients either in Sri Lanka or India. Apart from the acute manifestations of snakebites, chronic health effects have rarely been described in the literature.

Methods

A case series of 11 patients who developed long-term health effects following hump-nosed pit viper bites was prospectively studied at the Teaching Hospital, Ratnapura, Sri Lanka, from June 2015 to May 2021. Data on clinical presentation, examination findings, investigations, management and two-year follow-up were collected.

Results

This case series describes some of the chronic health manifestations following hump-nosed pit viper bites in 11 patients, including chronic kidney disease, fasciotomy-related injuries, musculoskeletal disabilities and pulmonary effects.

Conclusion

Hump-nosed pit viper bites can cause severe long-term sequelae that require follow-up. Physicians should be aware of these manifestations when managing patients and this case series highlights the need for an effective antivenom for Hypnale bites.

Rathnayaka, R. M., Ranathunga, P. E., & Kularatne, S. A. Chronic health manifestations following hump-nosed pit viper (Hypnale spp.) bites: An authenticated case series. Transactions of The Royal Society of Tropical Medicine and Hygiene. https://doi.org/10.1093/trstmh/traf148