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It also highlights the use of neostigmine for severe symptoms and emphasizes the importance of prompt wound care to prevent long\u2010term complications. A potentially life\u2010 and limb\u2010threatening event was successfully avoided through an inter\u2010departmental approach.<\/jats:p>","DOI":"10.1002\/ccr3.70634","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T13:44:40Z","timestamp":1752068680000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["One Bite, Two Severe Envenomations Despite Antivenom Therapy: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6458-2160","authenticated-orcid":false,"given":"Ravi","family":"Shukla","sequence":"first","affiliation":[{"name":"Bhim Hospital  Siddharthanagar Lumbini Province Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puja","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Bhim Hospital  Siddharthanagar Lumbini Province Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binod","family":"Khanal","sequence":"additional","affiliation":[{"name":"Bhim Hospital  Siddharthanagar Lumbini Province Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shraddha","family":"Paudyal","sequence":"additional","affiliation":[{"name":"Bhim Hospital  Siddharthanagar Lumbini Province Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bipal","family":"Regmi","sequence":"additional","affiliation":[{"name":"Bhim Hospital  Siddharthanagar Lumbini Province Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Ministry of Health and Population\u2010Epidemiology and Disease Control Division \u201cNational Guidelines for Snakebite Management in Nepal \u201d(2019)."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(21)00549-0"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00028-6"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.5812\/ijp.5212"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/toxins14120839"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/toxins15010049"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.159.7.706"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2019.05.011"},{"key":"e_1_2_10_10_1","volume-title":"StatPearls","author":"Tednes M.","year":"2025"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2001.113134"},{"issue":"1","key":"e_1_2_10_12_1","first-page":"54","article-title":"Pharmacodynamics and Pharmacokinetics of Snake Antivenom","volume":"27","author":"Nikapitiya B.","year":"2018","journal-title":"Sierra Leone Journal of Medicine"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/14789450.2018.1538799"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jprot.2019.103463"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2022.106990"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.70634","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T04:18:41Z","timestamp":1763698721000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.70634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/ccr3.70634"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.70634","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-04-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70634"}}