cobra
blister
viper bite
fang mark

Both Spectacled cobra (Najakaouthia) and Monocled cobra (Najakaouthia)

  • Small fang marks; distance between 2 fangs generally 10 mm apart
  • Local pain
  • Burning sensation
  • Local swelling
  • Discoloration of skin
  • Necrosis
  • Nausea & vomiting
  • Blurring of vision
  • Ptosis (drooping eyelids)
  • Incoordination of speech
  • Difficulty in breathing
  • Coma

Spectacled cobra bite can be better understood from the following articles—

  1. Rathnayaka et al. 2015. A cobra bite – uncommon site of bite. Sri Lankan Journal of Anaesthesiology: 23(2):89-90. DOI: 10.4038/slja.v23i2.8069
  2. Kularatne et al. 2009. Epidemiology, clinical profile and management issues of cobra (Naja naja) bites in Sri Lanka: first authenticated case series. Transactions of the Royal Society of Tropical Medicine and Hygiene, 103(9), 924–930. https://doi.org/10.1016/j.trstmh.2009.04.002
  3. Bawaskar&Bawaskar. 2004. Envenoming by the Common Krait (Bungarus caeruleus) and Asian Cobra (Najanaja): Clinical Manifestations and Their Management in a Rural Setting. Wilderness & Environmental Medicine; 15, 257–266.
  4. Ranawaka et al. 2013. Neurotoxicity in Snakebite—The Limits of Our Knowledge. PLoSNegl Trop Dis 7(10): e2302.
  5. Senthilkumaran et al. 2013. Acute Acalculous Cholecystitis: A Rare Complication of Snake Bite. Wilderness & Environmental Medicine; 24(3): 277–279. DOI: https://doi.org/10.1016/j.wem.2013.01.002
  6. Tsai et al. 2017. Necrotizing fasciitis following venomous snakebites in a tertiary hospital of southwest Taiwan. International Journal of Infectious Diseases; 63: 30–36. https://doi.org/10.1016/j.ijid.2017.08.005

Monocled cobra bite can be better understood from the following articles—

  1. Faiz et al. 2017. Bites by the Monocled Cobra, Najakaouthia, in Chittagong Division, Bangladesh: Epidemiology, Clinical Features of Envenoming and Management of 70 Identified Cases. Am J Trop Med Hyg.; 96(4): 876–884.
  2. Khandelwal et al. 2007. Naja kaouthia: Two cases of Asiatic cobra envenomations. The Journal of Emergency Medicine, 32(2), 171–174. DOI:https://doi.org/10.1016/j.jemermed.2006.05.047
  3. Amin et al. 2008. Consecutive bites on two persons by the same cobra: a case report. J. Venom. Anim. Toxins incl. Trop. Dis.; 14 (4): 725-737.
  4. Bernheim et al. 2001. Three cases of severe neurotoxicity after cobra bite (Najakaouthia). Swiss Med Wkly.;131(15-16):227-8.