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Dehghani R, Monzavi SM, Mehrpour O, Shirazi FM, Hassanian-Moghaddam H, Keyler DE, Wüster W, Westerström A, Warrell DA. Medically important snakes and snakebite envenoming in Iran. Toxicon 2023; 230:107149. [PMID: 37187227 DOI: 10.1016/j.toxicon.2023.107149] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 05/01/2023] [Accepted: 05/02/2023] [Indexed: 05/17/2023]
Abstract
Snakebite is a common health condition in Iran with a diverse snake fauna, especially in tropical southern and mountainous western areas of the country with plethora of snake species. The list of medically important snakes, circumstances and effects of their bite, and necessary medical care require critical appraisal and should be updated regularly. This study aims to review and map the distributions of medically important snake species of Iran, re-evaluate their taxonomy, review their venomics, describe the clinical effects of envenoming, and discuss medical management and treatment, including the use of antivenom. Nearly 350 published articles and 26 textbooks with information on venomous and mildly venomous snake species and snakebites of Iran, were reviewed, many in Persian (Farsi) language, making them relatively inaccessible to an international readership. This has resulted in a revised updated list of Iran's medically important snake species, with taxonomic revisions of some, compilation of their morphological features, remapping of their geographical distributions, and description of species-specific clinical effects of envenoming. Moreover, the antivenom manufactured in Iran is discussed, together with treatment protocols that have been developed for the hospital management of envenomed patients.
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Affiliation(s)
- Ruhollah Dehghani
- Department of Environmental Health, Kashan University of Medical Sciences, Kashan, Iran; Social Determinants of Health Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Seyed Mostafa Monzavi
- Medical Toxicology Center, Mashhad University of Medical Sciences, Mashhad, Iran; Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Omid Mehrpour
- Medical Toxicology and Drug Abuse Research Center, Birjand University of Medical Sciences, Birjand, Iran; Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO, USA.
| | - Farshad M Shirazi
- Arizona Poison and Drug Information Center, University of Arizona, Tucson, AZ, USA
| | - Hossein Hassanian-Moghaddam
- Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Clinical Toxicology, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Daniel E Keyler
- Department of Experimental & Clinical Pharmacology, University of Minnesota, Minneapolis, MN, USA
| | - Wolfgang Wüster
- Molecular Ecology and Evolution at Bangor, School of Natural Sciences, Bangor University, Bangor, UK
| | | | - David A Warrell
- Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK
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Zieliński D. Stinky fingers: Why rodent odor should be avoided while handling Heterodon nasicus snakes - two case reports of bites by captive snakes with rapid recovery. J Vet Behav 2022. [DOI: 10.1016/j.jveb.2022.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Questionnaire Background on the Hognose Snake ( Heterodon nasicus) Breeders' Awareness of the Risk of Being Bitten. Animals (Basel) 2021; 11:ani11123537. [PMID: 34944318 PMCID: PMC8697951 DOI: 10.3390/ani11123537] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 12/03/2021] [Accepted: 12/10/2021] [Indexed: 11/16/2022] Open
Abstract
Simple Summary Heterodon nasicus is a popular pet reptile. It represents dipsadine colubrids, non-front-fanged snakes (NFFS) having Duvernoy’s glands situated in the temporal region, which deliver toxic saliva via modified dentition during swallowing even though they are generally not viewed as venomous animals. As shown by previous descriptions, handlers were bitten while feeding their snakes with bare hands or when the smell of food persisted on their hands after feeding. The results of a survey for hognose snake breeders showed that 47.7% (n = 41) of the respondents admitted that they had had a situation in which H. nasicus tried to bite them; it occurred during routine approaches to daily snake handling. These situations are definitely preventable using proper feeding methods and by avoidance of routine risky habits. Abstract Several cases of Heterodon nasicus bites producing various symptoms have already been described. In this paper, a survey was conducted among Polish breeders of this species, where 47.7% of the respondents admitted that their snakes had tried to bite them, and 31.4% fed their snakes with their bare hands. When asked whether they feared being bitten by this snake during daily handling, an overwhelming majority of the respondents declared (74% of total negative responses, n = 63) that they were not afraid of being bitten. Based on the popularity of H. nasicus as a pet animal, it can only be assumed that the magnitude of accidental bites is much greater than that reported in published case reports. Therefore, it is important to try to educate pet breeders to report such cases and pay attention to the use of appropriate handling methods during contact with snake food and during feeding.
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Nikfarjam U, Grabbe S, Butsch F. [Snake bite of western hognose snake (Heterodon nasicus)]. Hautarzt 2021; 73:718-721. [PMID: 34860256 PMCID: PMC9427898 DOI: 10.1007/s00105-021-04923-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/10/2021] [Indexed: 11/27/2022]
Abstract
Es gibt bisher wenige beschriebene Fälle von Bissen durch die Hakennasennatter (Heterodon nasicus), die meist zu einer Lokalreaktion führten. Wir berichten über eine ausgeprägte Lokalreaktion nach dem Biss einer als Haustier gehaltenen Hakennasennatter (Heterodon nasicus). Eine antiseptische Lokaltherapie und Antibiose zur Infektionsprophylaxe sind zu empfehlen, ebenfalls Laborkontrollen zum Ausschluss einer systemischen Beteiligung. An die Überprüfung des Tetanusschutzes sollte gedacht werden.
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Affiliation(s)
- Ulrike Nikfarjam
- Hautklinik der Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.
| | - Stephan Grabbe
- Hautklinik der Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland
| | - Florian Butsch
- Hautklinik der Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland
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