Black mamba
The African Black mamba (Dendroaspis
polylepis) is a large and highly venomous snake species native to much of Sub-Saharan Africa. It is the second longest
venomous snake species in the world and is the fastest moving land snake,
capable of moving at 4.32 to 5.4 metres per second (16–20 km/h,
10–12 mph). It is by far the most feared and most dangerous snake
species in Africa and it has a legendary reputation as a very fierce and
territorial snake. When cornered or threatened, the black mamba can put up a
fearsome display of defense and aggression. A black mamba will often mimic a
cobra by spreading a neck-flap; exposing its black mouth, raising its body off
the ground, and hissing. It can rear up around one-third of its body from the
ground, which can put it at about four feet high. When warding off a threat,
the black mamba delivers multiple strikes, injecting large amounts of
virulently toxic venom with each strike, often landing bites on the body or
head, unlike other snakes. Their strikes are very quick and extremely accurate
and effective.If the attempt to scare away the threat fails, it will strike
repeatedly. This species of snake often shows an incredible amount of
tenacity, fearlessness, and aggression when cornered or threatened, during breeding
season, or when defending its territory. They are also known to have a
100% rate of envenomation. The probability of dry bites (no
venom injected) in black mamba strikes is almost non-existent. The venom
of the black mamba is a protein of low molecular weight and as a result is able
to spread extraordinarily rapidly within the bitten tissue. The venom of this
species is the most rapid-acting venom of any snake species and consists
mainly of highly potent neurotoxins; it also contains cardiotoxins , fasciculins and calciseptine.
Based on the Median lethal dose (LD50)
values in mice, the black mamba LD50 from all published sources
is as follows:
·
(SC) subcutaneous (most applicable to real
bites): 0.32 mg/kg, 0.28 mg/kg.
·
(IV) intravenous:
0.25 mg/kg, 0.011 mg/kg.
·
(IP) intraperitoneal: 0.30 mg/kg
(average), 0.941 mg/kg. 0.05 mg/kg (the last quote doesn't
make it clear if is either intravenous or intraperitoneal).
It is estimated that only 10 to 15 mg will kill a human
adult; however, its bites deliver about 120 mg of venom on average,
although they may deliver up to 400 mg of venom in a single bite. If
bitten, severe neurotoxicity invariably ensues rapidly. This is due to several
factors that include the high potency of their venom, the unique composition of
synergistic toxins contained within the venom which bring on severe symptoms of
envenomation and death much faster than any other venomous snake in the world. In
addition, the species itself possesses the most advanced, evolved, and
efficient venom delivery apparatus among all venomous snakes, and the most
advanced and evolved dentition of all elapids. Black mambas possess the
longest fangs of any elapid, averaging around 13.1 millimeters (0.52 in),
but may grow as long as 22 millimeters (0.87 in). Another feature
which distinguishes the dentition and the venom delivery apparatus of this
species from all other elapids and other species of venomous snake, including
those of the family Viperidae is the fact that the fangs are positioned very
forward at the most-anterior position possible in its mouth - right up in the
front of its upper jaw. The proteins in black mamba venom are of extremely
low molecular weight, low viscosity, and the venom's very high activity in
terms of hyaluronidases, which is also essential in facilitating dispersion of
venom toxins throughout tissue (spreading the venom through the body) by
catalyzing the hydrolysis of hyaluronan, a constituent of the extracellular
matrix (ECM), hyaluronidase lowers the viscosity of hyaluronan, and Dendroaspin
natriuretic peptide (DNP), a newly discovered component of mamba venom, is the
most-potent natriuretic peptide and it's unique to the genus Dendroaspis,
or mambas. It is a polypeptide analogous to the human atrial natriuretic
peptide; it is responsible for causing diuresis through natriuresis and
dilating the vessel bloodstream, which results in, among other things,
acceleration of venom distribution in the body of the victim, thereby
increasing tissue permeability. These advanced and highly evolved physical
and biological features combined with this species' large size, explosive
aggression, and quickness make the black mamba a terrifying adversary. Neurological, respiratory, andcardiovascular symptoms
rapidly begin to manifest, usually within less than ten minutes. Common
symptoms are rapid onset of dizziness, drowsiness, headache, coughing or difficulty
breathing, convulsions, and an erratic heartbeat. Other common symptoms which
come on rapidly include neuromuscular symptoms, shock, loss of consciousness, hypotension, pallor, ataxia,
excessive salivation (oral secretions may become profuse and thick), limb
paralysis, nausea and vomiting, ptosis,
fever, and very severe abdominal pain. Local tissue damage appears to be
relatively infrequent and of minor severity in most cases of black mamba
envenomation. Edema is
typically minimal. Acute renal failure has
been reported in a few cases of black mamba bites in humans as well as in animal
models. The venom of this species has been known to cause permanent paralysis in
some cases. Death is due to suffocation resulting from paralysis of the
respiratory muscles. Untreated black mamba bites have a mortality rate of
100%. Antivenomtherapy
is the mainstay of treatment for black mamba envenomation. A polyvalent
antivenom produced by the South African Institute for Medical Research (SAIMR)
is used to treat all black mamba bites from different localities. Due to
antivenom, a bite from a black mamba is no longer a certain death sentence. But
in order for the antivenom therapy to be successful, vigorous treatment and
large doses of antivenom must be administered very rapidly post-envenomation.
In case studies of black mamba envenomation, respiratory paralysis has occurred
in less than 15 minutes. Envenomation by this species invariably causes very
severe neurotoxicity due to the fact that black mambas often strike repeatedly
in a single lunge, biting the victim up to 12 times in extremely rapid
succession. Such an attack is very fast, lasting less than one second and
so it appears to be a single strike and single bite. With each bite the snake
delivers anywhere from 100 to 400 mg of a rapid-acting and virulently
toxic venom. As a result, the doses of antivenom required are often massive
(10–30+ vials) for bites from this species. Although antivenom saves many lives,
mortality due to black mamba envenomation is still at 14%, even with antivenom
therapy. In addition to antivenom therapy, endotracheal intubation and mechanical ventilation are required
for supportive therapy.
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