Neurotoxic Venom of the King Cobra

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Introduction

The venom of the king cobra is highly neurotoxic to humans and if untreated, is likely to cause death in several hours from respiratory failure. (Norris, 2008) This paper will examine the neurotoxic effects of the king cobra’s venom on the central nervous system at the neuromuscular junction, the signs and symptoms of envenomation, antidote and supportive measures, and prognosis.

The Neuromuscular Junction

Movement of voluntary muscles is controlled by the central nervous system. Impulses originate in the brain, and are carried to the muscles by the neurons. Each individual neuron consists of the dendrites, the cell body, and the axon. The dendrites are branch like projections that pick up nerve impulses and convey them to the the cell body. The impulse is then sent out from the cell body through the axon to another neuron, until it reaches the neuromuscular junction. (Shier, D. et all)

The neuromuscular junction is where the axon of the neuron meets the muscle fibers. There is a small space between the axon and the muscle fibers, called the synaptic cleft, through which the nerve impulse must travel to produce a movement in the muscle. (Shier, D. et al, 2004, p.282-283) One of the ways that the impulse can be transmitted across the synaptic cleft is by the use of chemicals, called neurotransmitters. Acetylcholine is a neurotransmitter used at the neuromuscular junction of motor neurons and voluntary muscles. The end of the motor neuron axon contains small vesicles, which store acetylcholine. When a nerve impulse reaches the neuron, calcium enters the cell, and stimulates these vesicles to release the acetylcholine into the synaptic cleft. The acetylcholine travels across the cleft, and attaches to ac...

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...ility of late serum sickness.

According to Warrell, D., “snake bite (in Southeast Asia) is an occupational hazard that is very difficult to avoid completely. People should be aware of what kinds of snakes live locally, their preferred habitat, and when they are most active. Footwear and appropriate clothing should be worn when walking through the jungle or in tall grass. Houses should be checked for snakes, and should be constructed so as not to provide snakes with hiding places. Any snake should be approached with caution, whether dead or alive. (Warrell, D.)

Conclusion

Envenomation by the king cobra will quickly affect the central nervous system, inhibiting acetylcholine release and reception, causing death from respiratory failure. Venom can be neutralized by the administration of the proper antivenin, and the patient’s life can be saved.

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