{"id":"https://openalex.org/W4416632991","doi":"https://doi.org/10.4269/ajtmh.25-0443","title":"Severe Red-Necked Keel-Back Snake (Rhabdophis subminiatus) Envenomation in Two Cases and a Literature Review","display_name":"Severe Red-Necked Keel-Back Snake (Rhabdophis subminiatus) Envenomation in Two Cases and a Literature Review","publication_year":2025,"publication_date":"2025-11-25","ids":{"openalex":"https://openalex.org/W4416632991","doi":"https://doi.org/10.4269/ajtmh.25-0443","pmid":"https://pubmed.ncbi.nlm.nih.gov/41662757"},"language":"en","primary_location":{"id":"doi:10.4269/ajtmh.25-0443","doi":"https://doi.org/10.4269/ajtmh.25-0443","is_oa":false,"landing_page_url":"https://doi.org/10.4269/ajtmh.25-0443","pdf_url":null,"source":{"id":"https://openalex.org/S100045985","display_name":"American Journal of Tropical Medicine and Hygiene","issn_l":"0002-9637","issn":["0002-9637","1476-1645"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315658","host_organization_name":"American Society of Tropical Medicine and Hygiene","host_organization_lineage":["https://openalex.org/P4310315658"],"host_organization_lineage_names":["American Society of Tropical Medicine and Hygiene"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Tropical Medicine and Hygiene","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12874978/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101386814","display_name":"Lu Pan","orcid":"https://orcid.org/0009-0003-5537-8211","observed_orcids":["https://orcid.org/0009-0003-5537-8211"]},"institutions":[{"id":"https://openalex.org/I4210098361","display_name":"First Affiliated Hospital of Guangzhou Medical University","ror":"https://ror.org/00z0j0d77","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210098361"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Pan Pan Lu","raw_affiliation_strings":["The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China","institution_ids":["https://openalex.org/I4210098361"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064604717","display_name":"Wei Pan","orcid":"https://orcid.org/0000-0002-2281-8749","observed_orcids":["https://orcid.org/0000-0002-2281-8749","https://orcid.org/0009-0007-3952-9541"]},"institutions":[{"id":"https://openalex.org/I4210098361","display_name":"First Affiliated Hospital of Guangzhou Medical University","ror":"https://ror.org/00z0j0d77","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210098361"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Wei Yuan Pan","raw_affiliation_strings":["The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China","institution_ids":["https://openalex.org/I4210098361"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101405577","display_name":"Jiang Wu","orcid":"https://orcid.org/0000-0001-6979-4708","observed_orcids":["https://orcid.org/0000-0001-6979-4708"]},"institutions":[{"id":"https://openalex.org/I4210098361","display_name":"First Affiliated Hospital of Guangzhou Medical University","ror":"https://ror.org/00z0j0d77","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210098361"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jing Yi Wu","raw_affiliation_strings":["The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China","institution_ids":["https://openalex.org/I4210098361"]}]},{"author_position":"last","author":{"id":null,"display_name":"Rong de Lai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098361","display_name":"First Affiliated Hospital of Guangzhou Medical University","ror":"https://ror.org/00z0j0d77","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210098361"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Rong de Lai","raw_affiliation_strings":["The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China","institution_ids":["https://openalex.org/I4210098361"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210098361"],"apc_list":null,"apc_paid":null,"fwci":0.5345,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.68665081,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"114","issue":"2","first_page":"368","last_page":"374"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11353","display_name":"Venomous Animal Envenomation and Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11353","display_name":"Venomous Animal Envenomation and Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10332","display_name":"Amphibian and Reptile Biology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2306","display_name":"Global and Planetary Change"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11635","display_name":"Poisoning and overdose treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/snakebite","display_name":"snakebite","score":0.8159999847412109},{"id":"https://openalex.org/keywords/hemorrhagic-diathesis","display_name":"bleeding tendency","score":0.828000009059906},{"id":"https://openalex.org/keywords/disseminated-intravascular-coagulation","display_name":"disseminated intravascular coagulation","score":0.9909999966621399},{"id":"https://openalex.org/keywords/antivenom","display_name":"antivenom","score":0.7639999985694885},{"id":"https://openalex.org/keywords/polyvalent-antivenom","display_name":"polyvalent antivenom","score":0.8009999990463257},{"id":"https://openalex.org/keywords/agkistrodon","display_name":"Agkistrodon","score":0.8529999852180481},{"id":"https://openalex.org/keywords/fibrinogen-concentrate","display_name":"fibrinogen concentrate","score":0.6600000262260437},{"id":"https://openalex.org/keywords/blood-transfusion-therapy","display_name":"transfusion therapy","score":0.5960000157356262},{"id":"https://openalex.org/keywords/case-fatality-rate","display_name":"case fatality rate","score":0.6600000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9438999891281128},{"id":"https://openalex.org/C117287731","wikidata":"https://www.wikidata.org/wiki/Q424427","display_name":"Antivenom","level":3,"score":0.8995000123977661},{"id":"https://openalex.org/C145600735","wikidata":"https://www.wikidata.org/wiki/Q3055418","display_name":"Envenomation","level":3,"score":0.876800000667572},{"id":"https://openalex.org/C2779936836","wikidata":"https://www.wikidata.org/wiki/Q890200","display_name":"Coagulopathy","level":2,"score":0.7231000065803528},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5536999702453613},{"id":"https://openalex.org/C187316915","wikidata":"https://www.wikidata.org/wiki/Q92307203","display_name":"Case fatality rate","level":3,"score":0.5447999835014343},{"id":"https://openalex.org/C2909910413","wikidata":"https://www.wikidata.org/wiki/Q823027","display_name":"Consumptive Coagulopathy","level":3,"score":0.4221999943256378},{"id":"https://openalex.org/C2778734968","wikidata":"https://www.wikidata.org/wiki/Q823027","display_name":"Disseminated intravascular coagulation","level":2,"score":0.41830000281333923},{"id":"https://openalex.org/C2776594833","wikidata":"https://www.wikidata.org/wiki/Q68854","display_name":"Snake bites","level":4,"score":0.3917999863624573},{"id":"https://openalex.org/C2780920261","wikidata":"https://www.wikidata.org/wiki/Q1363810","display_name":"Packed red blood cells","level":3,"score":0.3452000021934509},{"id":"https://openalex.org/C2779036427","wikidata":"https://www.wikidata.org/wiki/Q381899","display_name":"Fibrinogen","level":2,"score":0.33329999446868896},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.33180001378059387},{"id":"https://openalex.org/C2780014101","wikidata":"https://www.wikidata.org/wiki/Q183605","display_name":"Blood transfusion","level":2,"score":0.3248000144958496},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.3061999976634979},{"id":"https://openalex.org/C2780434524","wikidata":"https://www.wikidata.org/wiki/Q1144385","display_name":"Prothrombin time","level":2,"score":0.29100000858306885},{"id":"https://openalex.org/C2777396833","wikidata":"https://www.wikidata.org/wiki/Q886722","display_name":"Blood product","level":2,"score":0.27869999408721924},{"id":"https://openalex.org/C2778639011","wikidata":"https://www.wikidata.org/wiki/Q1553850","display_name":"Hemoglobinuria","level":3,"score":0.2752000093460083},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.271699994802475},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.25859999656677246}],"mesh":[{"descriptor_ui":"D000097222","descriptor_name":"Venomous Snakes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097222","descriptor_name":"Venomous Snakes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097222","descriptor_name":"Venomous Snakes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097222","descriptor_name":"Venomous Snakes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097222","descriptor_name":"Venomous Snakes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097222","descriptor_name":"Venomous Snakes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097222","descriptor_name":"Venomous Snakes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097222","descriptor_name":"Venomous Snakes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D000997","descriptor_name":"Antivenins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D004211","descriptor_name":"Disseminated Intravascular Coagulation","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D012909","descriptor_name":"Snake Bites","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D017812","descriptor_name":"Colubridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017812","descriptor_name":"Colubridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017812","descriptor_name":"Colubridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017812","descriptor_name":"Colubridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017812","descriptor_name":"Colubridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017812","descriptor_name":"Colubridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017812","descriptor_name":"Colubridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017812","descriptor_name":"Colubridae","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.4269/ajtmh.25-0443","doi":"https://doi.org/10.4269/ajtmh.25-0443","is_oa":false,"landing_page_url":"https://doi.org/10.4269/ajtmh.25-0443","pdf_url":null,"source":{"id":"https://openalex.org/S100045985","display_name":"American Journal of Tropical Medicine and Hygiene","issn_l":"0002-9637","issn":["0002-9637","1476-1645"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315658","host_organization_name":"American Society of Tropical Medicine and Hygiene","host_organization_lineage":["https://openalex.org/P4310315658"],"host_organization_lineage_names":["American Society of Tropical Medicine and Hygiene"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Tropical Medicine and Hygiene","raw_type":"journal-article"},{"id":"pmid:41662757","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41662757","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of tropical medicine and hygiene","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12874978","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12874978/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Am J Trop Med Hyg","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:12874978","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12874978/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Am J Trop Med Hyg","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"In":[0],"the":[1,18,59,117,133,166,203,209],"present":[2],"article,":[3],"two":[4],"cases":[5,34,177,192],"of":[6,17,31,35,83,90,142,180],"envenomation":[7],"by":[8,216],"Rhabdophis":[9,36,217],"subminiatus":[10,37,218],"are":[11],"reported,":[12],"including":[13],"a":[14,28,198,220],"detailed":[15],"analysis":[16],"toxicological":[19],"mechanisms,":[20],"clinical":[21,242],"manifestations,":[22],"and":[23,46,61,66,81,98,129,140,149,185],"therapeutic":[24],"management,":[25],"along":[26],"with":[27,75,87,126,138,196,228,236],"systematic":[29],"review":[30,171],"globally":[32],"reported":[33,176],"envenomation.":[38],"Both":[39],"patients":[40],"(both":[41],"male,":[42],"aged":[43],"58":[44],"years":[45],"55":[47],"years,":[48],"respectively)":[49],"sought":[50],"medical":[51,222],"treatment":[52,86,137],"several":[53],"days":[54,113,162],"after":[55,114,163],"being":[56],"bitten":[57],"on":[58],"hand":[60],"developed":[62],"life-threatening":[63],"consumptive":[64],"coagulopathy":[65,187],"hemorrhagic":[67,183],"diathesis.":[68],"The":[69,120],"58-year-old":[70],"patient":[71,122],"(Case":[72,123],"1)":[73],"presented":[74,125],"local":[76],"swelling,":[77],"pain,":[78],"abdominal":[79],"hematoma,":[80],"shortness":[82],"breath.":[84],"After":[85,136],"antivenom,":[88],"transfusion":[89,141],"packed":[91,145],"red":[92,146],"blood":[93,147],"cells,":[94,148],"fresh-frozen":[95,150],"plasma,":[96,151],"cryoprecipitate,":[97],"mechanical":[99],"ventilation,":[100],"his":[101,152],"coagulation":[102,153],"function":[103,154],"returned":[104,155],"to":[105,116,132,156,165,240],"nearly":[106],"normal":[107],"levels.":[108],"He":[109,158],"was":[110,159,206],"discharged":[111,160],"15":[112],"admission":[115,164],"study":[118,167],"hospital.":[119,168],"55-year-old":[121],"2)":[124],"oral":[127],"bleeding":[128],"swelling":[130],"distal":[131],"bite":[134],"site.":[135],"antivenom":[139,230],"fibrinogen":[143],"concentrate,":[144],"normal.":[157],"11":[161],"A":[169],"literature":[170],"revealed":[172],"more":[173],"than":[174],"50":[175],"worldwide,":[178],"all":[179],"which":[181],"highlighted":[182],"syndrome":[184],"profound":[186],"as":[188,232],"hallmark":[189],"features.":[190],"Most":[191],"were":[193],"managed":[194],"symptomatically,":[195],"only":[197],"minority":[199],"receiving":[200],"antivenom.":[201],"Although":[202],"overall":[204],"prognosis":[205],"generally":[207],"favorable,":[208],"case":[210],"fatality":[211],"rate":[212],"reached":[213],"12.7%.":[214],"Envenomation":[215],"constitutes":[219],"significant":[221],"emergency":[223],"that":[224],"requires":[225],"early":[226],"intervention":[227],"polyvalent":[229],"(such":[231],"anti-Agkistrodon/Deinagkistrodon":[233],"antivenom)":[234],"combined":[235],"targeted":[237],"supportive":[238],"therapy":[239],"optimize":[241],"outcomes.":[243]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-17T09:40:24.721904","created_date":"2025-11-25T00:00:00"}