{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:08:09Z","timestamp":1777907289226,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T00:00:00Z","timestamp":1578268800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>A 30-year-old woman presented as an emergency with a history of snakebite 5\u2009h previously with signs of bulbar palsy, ptosis, respiratory distress and weakness of all four limbs. Mechanical ventilation, anti-snake venom (ASV) and supportive management were immediately instituted. With the third dose of ASV, an early anaphylactic reaction ensued. Subsequent management with corticosteroids and antihistamines over the next few days allowed consciousness to return but muscle power did not improve beyond 2\/5. A trial of intravenous neostigmine with glycopyrrolate, however, improved motor power in all four limbs to 3\/5. Oral pyridostigmine at 60\u2009mg every 8\u2009h allowed subsequent full motor recovery in all four extremities. We suggest consideration of pyridostigmine to promote motor recovery after an allergic reaction to ASV.<\/jats:p>","DOI":"10.1177\/0049475519896942","type":"journal-article","created":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T03:11:36Z","timestamp":1578280296000},"page":"238-239","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The role of pyridostigmine in recovery from motor paralysis in a snakebite patient with an allergic reaction to anti-snake venom"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5336-325X","authenticated-orcid":false,"given":"Vanita","family":"Ahuja","sequence":"first","affiliation":[{"name":"Associate Professor, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital Sector 32, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjuman","family":"Chander","sequence":"additional","affiliation":[{"name":"Junior Resident, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital Sector 32, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nishit","family":"Sawal","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of General Medicine, Government Medical College and Hospital Sector 32, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,6]]},"reference":[{"key":"bibr1-0049475519896942","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxrep.2019.02.008"},{"key":"bibr2-0049475519896942","doi-asserted-by":"publisher","DOI":"10.1177\/0049475517712804"},{"key":"bibr3-0049475519896942","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjtee.2016.12.004"},{"key":"bibr4-0049475519896942","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneuroim.2017.08.004"},{"key":"bibr5-0049475519896942","doi-asserted-by":"publisher","DOI":"10.1016\/0742-8413(94)00062-F"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475519896942","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475519896942","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475519896942","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:32:03Z","timestamp":1777642323000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475519896942"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,6]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1177\/0049475519896942"],"URL":"https:\/\/doi.org\/10.1177\/0049475519896942","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,6]]}}}