{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T19:44:25Z","timestamp":1791575065072,"version":"4.3.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Kunming University of Science and Technology medical joint project","award":["KUST-KH2022010Y"],"award-info":[{"award-number":["KUST-KH2022010Y"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    The king cobra (\n                    <jats:italic toggle=\"yes\">Ophiophagus hannah<\/jats:italic>\n                    s str) is feared for its large size and highly toxic venom because its bite can result in severe envenoming and life-threatening injuries. We report a case involving a 50-y-old male from the mountainous town of Yunnan Province who experienced cardiopulmonary arrest after being bitten by a king cobra on his left index finger, followed by myocardial injury, pulmonary infection, and serologic reactions. During treatment, the patient received\n                    <jats:italic toggle=\"yes\">Bungarus multicinctus<\/jats:italic>\n                    antivenom and cobra antivenom to neutralize the toxin, intubation, mechanical ventilation, antibiotics, anticholinergic drugs, and antiallergy therapy. After active treatment, the patient ultimately recovered. This case analysis highlights the multiple toxic reactions caused by the bite of the king cobra. It emphasizes the critical importance of timely and effective antivenom therapy and a comprehensive treatment strategy in managing snakebite injuries.\n                  <\/jats:p>","DOI":"10.1177\/10806032251345769","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T04:36:43Z","timestamp":1748925403000},"page":"559-563","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Envenoming by King Cobra (\n                    <i>Ophiophagus hannah<\/i>\n                    s str) with Cardiopulmonary Arrest in Yunnan, China"],"prefix":"10.1177","volume":"36","author":[{"given":"Huating","family":"Zhao","sequence":"first","affiliation":[{"name":"The First People's Hospital of Yunnan Province"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Han","sequence":"additional","affiliation":[{"name":"The First People's Hospital of Yunnan Province"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengwei","family":"Ao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Xichou County People's Hospital, Wenshan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dangbo","family":"Bao","sequence":"additional","affiliation":[{"name":"The First People's Hospital of Yunnan Province"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0169-8580","authenticated-orcid":false,"given":"Ruanxian","family":"Dai","sequence":"additional","affiliation":[{"name":"The First People's Hospital of Yunnan Province"},{"name":"Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"e_1_3_2_2_2","article-title":"Taxonomic revision of the king cobra Ophiophagus hannah (Cantor, 1836) species complex (Reptilia: Serpentes: Elapidae), with the description of two new species","volume":"961","author":"Das I","year":"2024","unstructured":"Das I, Gowri Shankar P, Swamy P, Williams RC, Lalremsanga HT, Prashanth P, et al. Taxonomic revision of the king cobra Ophiophagus hannah (Cantor, 1836) species complex (Reptilia: Serpentes: Elapidae), with the description of two new species. Eur J Taxon. 2024;961(1):1\u201351.","journal-title":"Eur J Taxon"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpra.2020.11.004"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2024.107751"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijbiomac.2023.126708"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0008873"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0012359"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms242316769"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2019.105311"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ympev.2021.107300"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1590\/1678-9199-jvatitd-2021-0051"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2006.04866.x"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2021.07.007"},{"issue":"7","key":"e_1_3_2_14_2","first-page":"891","article-title":"Guidelines for the treatment of snakebite in China","volume":"33","author":"Emergency Medicine Branch of the Chinese Medical Association, National Emergency Medicine Quality Control Centre, Emergency Physicians Branch of the Chinese Medical Association","year":"2024","unstructured":"Emergency Medicine Branch of the Chinese Medical Association, National Emergency Medicine Quality Control Centre, Emergency Physicians Branch of the Chinese Medical Association, et al. Guidelines for the treatment of snakebite in China. Chinese J Emerg Med. 2024;33(7):891\u2013906 [in Chinese].","journal-title":"Chinese J Emerg Med"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1590\/s1678-9946202163079"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12864-015-1828-2"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2022.815069"},{"issue":"12","key":"e_1_3_2_18_2","first-page":"1315","article-title":"2018 Chinese expert consensus on snakebite treatment","volume":"27","author":"China Expert Group on Snakebite Treatment","year":"2018","unstructured":"China Expert Group on Snakebite Treatment. 2018 Chinese expert consensus on snakebite treatment. Chinese J Emerg Med. 2018;27(12):1315\u20131322 [in Chinese].","journal-title":"Chinese J Emerg Med"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032251345769","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032251345769","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032251345769","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:32:42Z","timestamp":1777689162000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032251345769"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/10806032251345769"],"URL":"https:\/\/doi.org\/10.1177\/10806032251345769","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,3]]}}}