326 
PARTENV: 
DOCU MENTS, 
I.—A FEW NOTES AND OBSERVATIONS RELATING TO BITES OF 
Poisonous SNAKES ‘TREATED BY ANTIVENOMOUS SERUM 
THERAPEUTICS. 
A.—Naja tripudians (India and Indo-China). 
I.—Case published by A. Beveridge, M.B., C.M., Surgeon 8. 
Coorg Medical Fund (British Medical Journal, December 23, 1899, 
p. 1732). 
‘A strong coolie, aged 26, was bitten by a cobra on the right 
ankle, just above the internal malleolus. He was brought to the 
surgery about one hour after being bitten, in a state of comatose 
collapse. The pulse was rapid, and the surface of the body cold. 
He was given an injection of 10 c.c. of Calmette’s antivenene deeply 
into the right flank. He was kept under observation: the paresis 
and insensibility were very marked. On visiting him some hours 
afterwards I found he could walk without assistance, but staggered, 
and complained of weakness and pains in both legs. Next morning 
he was much improved, the paresis gradually wore off, and the 
pulse steadily gained strength. The patient returned to work four 
days later, quite recovered. 
‘A few days previously a coolie had died after being bitten 
by a snake under the same conditions, but without having been 
treated. Occurrences like these point to the necessity that every 
Government or private dispensary should be supplied with anti- 
venene, which is certainly the best remedy for snake-bite available.” 
