614 JOURNAL, BOMBAY NATURAL H18T. SOCIETY, Vol. XXFIl, 



Bewa Janoo arrived at my 'bungalow at about 7-5 p.m. bringing with him the 

 snake. I examined, the snake and fomid that it was a yomig Russell's Viper 

 about 18 inches in length. I also examined the site of the bite, but was not able 

 to detect the presence of fang marks, nor was there any oozing of blood, Sonie 

 pain and swelling was however present and the patient complained of giddiness. 



A few minutes only were necessary to secu-i'e anti-venine and a sterile syringe 

 so that between 7-15 and 7-30 forty cubic centimeters of anti-venine Avere in- 

 jected intravenously in the right arm. The swelling at the site of the bite had 

 meanwhile distinctly increased ;it was soft and appeared to be due to the pre- 

 sence of blood or serum beneath the skin. 



About fifteen minutes after the injection, the patient complained of pain in 

 the abdomen and back and as this suggested the possibility of htemorrhage 

 within the abdomen, forty more cubic centimeters of anti-venine were injected 

 intravenously at 7-45 p.m. 



As no further symptoms appeared the patient was allowed to go to his home 

 at 10-30 p.m. 



Next morning he presented himself at the laboratory. The swelling in the 

 leg had extended considerably, up to but not above the knee. The pain had 

 gone and the patient in other respects felt quite well. In three days the 

 swelling disappeared ; no suppuration or sloughing occurred. Within a week 

 the patient had returned to his duties. 



The serum used was prepared at Kasauli, Brew No. 186, V 34 A., dated 7th 

 October 1917. 



W. GLEN LISTON, M.D., D.p.H.,Lt.-Col.,i.M.s., 

 Director, Bombay Bacteriological Laboratory 

 20tli August 1920. 



No. XXL— NOTE ON A CASE OP RECOVERY AFTER A 

 BITE BY A RUSSELL^S VIPER. 



On August 0th, 1920, a man was brought to the Lidian Station Hospital, 

 Sehore, stating that he had been bitten by a snake about an hour and a half 

 previously. . The man said that while carrying a bmidle of freshly cut grass on 

 his head, he felt sometliing moving on his arm, he looked and found that the 

 Snake had reached his forearm, he hit it with his hand, the snake bit him and 

 he killed it with a stick. 



On examination two small pmictures tlu-ee inches apart were found on the 

 right forearm. The man was quite calm and normal pulse 86. The pmictures 

 were scarified and rubbed with crj'-stals of Potassium Permanganate 40 c.cs. 

 Antivenine were injected subcutaneously. The ligatm-e which the men \\dth 

 him had tied above his right elbow was removed. 



The snake which the man said had bitten him was shown to Col. Luard who 

 identified it as a Russell's Vipei about a month old. The snake was 14 inches 

 in length. 



I do not think that the treatment had anything to do with the man's 

 recovery. That was evidently due to his receiving a quantity of the poison 

 too small to produce toxic symptoms. 



Since coming mider observation the man has shown no abnormal symptoms, 



J. B. MOLONY, Capt., i.m.s., 

 Indian Station Hosj)ital, Sehore, 

 I2th August 1920. 



