{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:24:48Z","timestamp":1787837088945,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Snake bite is a neglected tropical disease affecting millions of people across the globe. The highest burden exists in South East Asia and Sub-Saharan Africa. Around 45900 deaths could be attributed to snake bites in India with 25% of these deaths occurring in children between age group of 5\u201314 years. Snake bites can broadly present with hemotoxic and neurotoxic manifestations. Management of snake envenomation comprises of first aid measures, administration of ASV (Anti-Snake Venom), strict monitoring, supportive management in the form of pain relief, correcting coagulation parameters and fluid and haemodynamic monitoring. We are reporting a case of Elapid poisoning, which besides the usual neurotoxic manifestation, also presented with hepatotoxicity which is an uncommon presentation.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1784_24","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T13:00:47Z","timestamp":1748696447000},"page":"2062-2064","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Hepatotoxic effect of elapid venom-a rare manifestation: Case report"],"prefix":"10.4103","volume":"14","author":[{"given":"Partha K.","family":"Chaudhuri","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazifa","family":"Azam","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abha","family":"Madhur","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyotsna","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranvijay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupa","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratik","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,31]]},"reference":[{"key":"R3-20250602","first-page":"15","year":"2016","journal-title":"World Health Organization. Guidelines for the Management of Snakebites. World Health Organization"},{"key":"R5-20250602","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1081\/TXR-100108559","article-title":"Reactive astrocytic response and increased proliferatic cell nuclear antigen expression in cerebral cortex of envenomated rats","volume":"20","author":"Imam","year":"2001","journal-title":"J Toxicol Toxin Rev"},{"key":"R6-20250602","first-page":"21","article-title":"Histological and histochemical alterations in the liver following intramuscular injection with a sublethal dose of the Egyptian cobra venom","volume":"9","author":"Rahmy","year":"2000","journal-title":"J Nat Toxins"},{"key":"R7-20250602","doi-asserted-by":"crossref","first-page":"624","DOI":"10.3109\/15376516.2013.823634","article-title":"Pomegranate peel attenuates aluminum-induced hepatorenal toxicity","volume":"23","author":"Abdel Moneim","year":"2013","journal-title":"Toxicol Mech Methods"},{"key":"R8-20250602","doi-asserted-by":"crossref","first-page":"224","DOI":"10.3844\/ajbbsp.2013.224.234","article-title":"In vivo neutralization of Naja nigricollis venom by Uvaria chamae","volume":"9","author":"Omale","year":"2013","journal-title":"Am J Biochem Biotechnol"},{"key":"R9-20250602","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1590\/S1678-91992004000300004","article-title":"Biochemical and morphological analysis of cell death induced by Egyptian cobra (Naja haje) venom on cultured cells","volume":"10","author":"Omran","year":"2004","journal-title":"J Venom Anim Toxins Incl Trop Dis"},{"key":"R10-20250602","doi-asserted-by":"crossref","first-page":"2799","DOI":"10.1175\/1520-0469(1997)054<2799:MSPITI>2.0.CO;2","article-title":"Multiple scattering parameterization in thermal infrared radiative transfer","volume":"54","author":"Fu","year":"1997","journal-title":"J Atmospheric Sci"},{"key":"R11-20250602","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S0041-0101(02)00213-1","article-title":"Purification and characterization of an anticoagulant phospholipase A2 from Indian monocled cobra (Naja kaouthia) venom","volume":"41","author":"Doley","year":"2003","journal-title":"Toxicon"},{"key":"R12-20250602","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.jksus.2014.01.003","article-title":"Biological effects of Naja haje crude venom on the hepatic and renal tissues of mice","volume":"26","author":"Tohamy","year":"2014","journal-title":"J King Saud Univ-Sci"},{"key":"R13-20250602","first-page":"436","article-title":"Histopathological studies on effect of serum liver enzymes of Naja nigricollis and Bitis arietans venom","volume":"16","author":"Kurfi","year":"2021","journal-title":"Sci World J"},{"key":"R14-20250602","first-page":"503","article-title":"Pediatric Intensive Care Protocols of AIIMS, Management of Snake Bite","author":"Sankar","year":"2022","journal-title":"Indian Journal of Pediatrics, New Delhi Publ"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1784_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:15:25Z","timestamp":1787836525000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1784_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1784_24","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2024-10-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}