Elapids (cobra, coral, mamba) toxicity

About Elapids (cobra, coral, mamba) toxicity

Elapids are snakes including cobras, kraits, mambas, coral, tiger, and Australian snakes. Elapids have neurotoxic venom (nerve poison), which acts mainly on the central nervous system. The venom affects heart function and breathing but may cause little or no damage at the bite site.

Symptoms

Soft tissue swelling (usually mild), double vision, difficulty swallowing, respiratory collapse, breathing problems, increased salivation, jaw clenching, confusion, drooping eyelids, weakness, muscle twitching, cardiovascular collapse, low blood pressure, fast heart rate.

Tests & Diagnostics

A history and physical exam will be performed. Blood tests will be performed to determine the extent of organ damage. Additional tests may be recommended to assess the status of the brain and nervous system.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), Urinalysis (UA), X-ray.

Conventional treatment summary

Treatment includes: early antivenom (also called antivenin) therapy, intravenous fluids, and aggressive support of the vital signs. For more information and help call your local poison center at 1-800-222-1222.

Medical specialties

Medical Toxicology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Elapids (cobra, coral, mamba) toxicity.