{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T02:50:02Z","timestamp":1772851802613,"version":"3.50.1"},"reference-count":82,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T00:00:00Z","timestamp":1733443200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Institut Pasteur"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Snakes responsible for bites are rarely identified, resulting in a loss of information about snakebites from venomous species whose venom effects are poorly understood. A prospective clinical study including patients bitten by a snake was conducted in Cameroon between 2019 and 2021 to evaluate the efficacy and tolerability of a marketed polyvalent antivenom. Clinical presentation during the first 3 days of hospitalization was recorded following a standardized protocol. This ancillary study aimed to assess the frequency of bites by the different species encountered in Cameroon and to describe the symptoms of bites by formally identified species. Of the 447 patients included in the study, 159 (35.6%) brought the snake that caused the bite that was identified by a specialist. Out of these, 8 specimens could not be identified due to poor condition, 19 were non-venomous species, and 95 belonged to Echis romani\u2014formerly E. ocellatus\u2014species. The remaining 37 specimens included 2 Atheris squamigera, 12 Atractaspis spp., 2 Bitis arietans, 11 Causus\u00a0maculatus, 1 Dendroaspis jamesoni, 1 Naja haje, 1 N. katiensis, 5 N. melanoleuca complex, and 2 N. nigricollis. Symptoms, severity of envenomation, and post-treatment course are described. Symptoms and severity of bites are consistent with cases described in the literature, but some specific features are highlighted.<\/jats:p>","DOI":"10.3390\/tropicalmed9120300","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T03:44:47Z","timestamp":1733456687000},"page":"300","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Snakebites in Cameroon by Species Whose Effects Are Poorly Described"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1976-8568","authenticated-orcid":false,"given":"Jean-Philippe","family":"Chippaux","sequence":"first","affiliation":[{"name":"MERIT Unit, Institut de Recherche pour le D\u00e9veloppement, Paris Cit\u00e9 University, F-75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6201-1261","authenticated-orcid":false,"given":"Yoann","family":"Madec","sequence":"additional","affiliation":[{"name":"Emerging Diseases Epidemiology Unit, Institut Pasteur, Paris Cit\u00e9 University, F-75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Amta","sequence":"additional","affiliation":[{"name":"Tokombere Hospital, Mora P.O. Box 74, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigue","family":"Ntone","sequence":"additional","affiliation":[{"name":"Epicentre Yaounde, Yaounde P.O. Box 12069, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ga\u00eblle","family":"No\u00ebl","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Translational Research Center, Paris Cit\u00e9 University, F-75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Clauteaux","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Translational Research Center, Paris Cit\u00e9 University, F-75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"II","given":"Yap","family":"Boum","sequence":"additional","affiliation":[{"name":"Institut Pasteur de Bangui, Bangui P.O. Box 923, Central African Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armand S.","family":"Nkwescheu","sequence":"additional","affiliation":[{"name":"Cameroon Society of Epidemiology, Yaounde P.O. Box 1411, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0941-2859","authenticated-orcid":false,"given":"Fabien","family":"Taieb","sequence":"additional","affiliation":[{"name":"Institut Pasteur Medical Center, Paris Cit\u00e9 University, F-75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s40409-017-0127-6","article-title":"Snakebite envenomation turns again into a neglected tropical disease!","volume":"23","author":"Chippaux","year":"2017","journal-title":"J. Venom. Anim. Toxins Incl. Trop. 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