Research Article

Severe neurotoxic envenoming by the Malayan krait Bungarus candidus (Linnaeus): response to antivenom and anticholinesterase.

Br Med J (Clin Res Ed) 1983; 286 doi: (Published 26 February 1983) Cite this as: Br Med J (Clin Res Ed) 1983;286:678
  1. D A Warrell,
  2. S Looareesuwan,
  3. N J White,
  4. R D Theakston,
  5. M J Warrell,
  6. W Kosakarn,
  7. H A Reid


    Five patients were bitten by the Malayan krait Bungarus candidus (Linnaeus) in eastern Thailand or north western Malaya. Two patients were not envenomed but the other three developed generalised paralysis which progressed to respiratory paralysis in two cases, one of which ended fatally. One patient showed parasympathetic abnormalities. Anticholinesterase produced a dramatic improvement in one patient. Another patient probably benefited from paraspecific antivenom. The efficacy of antivenoms and adjuvants such as anticholinesterases in patients with neurotoxic envenoming requires further study.