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MYS Press: Toddler dies of snake bite

Apr 20, 2005 10:53 PM

NEW STRAITS TIMES (Wilayah Persekutuan, Malaysia) 21 April 05 Toddler dies of snake bite (Ahmad Fairuz Othman)
Alor Star: No one realised that Mohd Izzat Akmal Zaini had been bitten by a venomous snake until several hours later. By then, nothing much could be done to save the 18-month-old toddler.
He died today at the Alor Star Hospital, 10 days after he was admitted.
A hospital spokesman said doctors were working against the odds from the start. Izzat was warded five hours after his family realised he had been bitten on his right foot while asleep at their home in Kampung Tok Besah.
By that time, he was frothing at the mouth, unconscious and fighting for breath.
Doctors administered the appropriate anti-venom after the baby's parents helped identify the snake.
The toddler's mother, Siti Fatimah Kasa, 38, said that Izzat's sister Intan Maisarah, 9, raised the alarm when she saw a snake in the kitchen.
"I rushed to check on Izzat but he was sound asleep.
"It was about five hours later when my mother, Bahari Mat , found him frothing at the mouth and we immediately rushed him to the hospital," she said.
She said her husband, Zaini Abdullah, 38, managed to kill the snake.
The snake was identified as a "ketam timah", a species commonly found in padi fields.
http://www.nst.com.my/Current_News/NST/Thursday/National/NST32316938.txt/Article/indexb_html

UTUSAN (Kuala Lumpur, Malaysia) 21 April 05 Kanak-kanak `dicium' ular meninggal dunia (Daliza Ariffin)
Pendang: Seorang kanak-kanak berusia 18 bulan yang `dicium' oleh seekor ular katam timah berbisa di kakinya meninggal dunia hari ini - selepas 11 hari bertarung nyawa tidak sedarkan diri di Unit Rawatan Rapi (ICU) Hospital Alor Star.
Kanak-kanak itu, Mohd. Izzat Akhmal Zaini yang baru belajar bertatih, sedang tidur semasa ular itu menyelinap masuk ke rumahnya di Kampung Tok Besah di sini kira-kira pukul 7 pagi, 9 April lalu.
Kakaknya, Intan Maisarah, 6, yang terjaga dari tidur menyedari kehadiran ular berbelang hitam putih itu di dalam rumah mereka.
``Mak, ular cium (patuk) kaki adik,'' kata Maisarah kepada ibu Siti Fatimah Mohd. Kassa, 33, yang ketika itu sedang bersiap untuk ke klinik kesihatan bagi menjalani pemeriksaan kehamilan.
Setelah menyedari kehadiran ular itu, Siti Fatimah berkata, suaminya, Zaini Abdullah, 37, seorang tukang rumah di kampung berkenaan terus membunuh ular sepanjang 0.3 meter itu dan beliau dengan segera memeriksa seluruh badan anak keempatnya dengan teliti.
``Saya tidak nampak sebarang kesan patukan pada badan Izzat dan tidak menyangka perkara yang buruk akan berlaku terhadap anak bongsu saya itu, tetapi selepas balik dari klinik kesihatan, saya tengok mukanya pucat berwarna kebiru-biruan dan tidak sedarkan diri,'' jelas beliau lagi.
Siti Fatimah terus menghantarnya ke Hospital Pendang tetapi terpaksa dirujuk ke Hospital Alor Star untuk rawatan lanjut.
Sementara itu, Siti Fatimah yang hamil lima bulan berkata, Mohd. Izzat Akmal seronok bermain dengan abangnya, Mohd. Ridhwan, 8, pada malam sebelum kejadian itu.
``Anak saya seorang yang aktif tetapi malam itu, dia asyik bermain sahaja dan memaksa saya dan ayahnya bermain dengan dia tetapi mungkin sudah terlalu lewat iaitu lebih kurang pukul 2 pagi, saya tidurkan dia di dalam buaian,'' jelasnya.
Jenazah Mohd. Izzat Akmal selamat dikebumikan di Tanah Perkuburan Kampung Tok Besah di sini selepas solat Asar petang ini.
Ular jenis katam, ular tedung, kapak, orok-orok dan tedung selar adalah ular berbisa yang perlu diberi penawar anti-venom dengan segera selepas dipatuk.
Jika terlewat diberi penawar itu, mangsa akan mati akibat gangren (kerosakan tisu) dan pembekuan darah.
Oktober lalu seorang bakal pengantin, Arni Syuhada Salleh meninggal dunia setelah dipatuk ular tedung selar yang melingkar di atas katilnya. Dia gagal diselamatkan setelah Hospital Daerah Pekan tidak mempunyai bekalan penawar anti-venom.
Toddler dies of snake bite

Replies (8)

LarryF Apr 21, 2005 03:43 PM

>> The snake was identified as a "ketam timah", a species commonly found in padi fields.

As long as I felt the need to look it up, for anyone interested:

From http://dictionary.bhanot.net/

ketam
(1) crab (2) reap or harvest (3) plane (of wood)
timah
tin

I can't find any reference to "ketam timah", but it seems that "ketam" is the name of an island (translated as "crab" in that case) and I see referces to several people with "Timah" as a last name, so it's not clear how to translate the name. It's obviously a local name that probably won't give us any hint to what snake it is. Anyone here Malay?

phobos Apr 21, 2005 06:27 PM

Thanks for trying Larry..

If I had to guess by the timing & symptomology I would say Krait for sure.

Al
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Apr 21, 2005 07:58 PM

NEW STRAITS TIMES (Wilayah Persekutuan, Malaysia) 22 April 05 Second family member bitten by snake
Alor Star: Lightning has struck twice for the family of the baby who died of a snake bite yesterday.
Less than 24 hours after 18-month-old Izzat Akmal Zaini succumbed to a bite from a "ketam timah" snake, his grandmother was bitten by a cobra.
Che Piah Abdullah, Izzat’s paternal grandmother, is now warded at the Kuala Nerang hospital after she was bitten on the hand this morning.
Izzat died yesterday after being bitten while asleep in his cot two weeks ago.
A snake was seen in his house but Izzat was presumed safe because he was sleeping soundly.
It was hours later when he started frothing at the mouth that the family sought medical treatment.
A hospital spokesman said doctors were working against the odds from the start.
Doctors administered the appropriate anti-venom after the baby’s parents helped identify the snake.
Siti Fatimah Kasa, 38, said that Izzat’s sister Intan Maisarah, nine, raised the alarm when she saw a snake in the kitchen.
"I rushed to check on Izzat but he was sound asleep."
Second family member bitten by snake

Apr 21, 2005 08:13 PM

Larry and Al;
I went in a different direction ... I noticed that the Englsih press quote of the snake's "name' was not the same as the one given in the Malay paper ... ketam (E) vs katam (M).
I accessed a Malay paper that linked me to a Malay search engine ... and while I have not picked up "katam timah" exactly yet ... I do have a lead on "katam".
If you would do me the kindness of pulling up http://www.prn2.usm.my/mainsite/bulletin/1995/penawar5.html, and then doing a 'word search' for the following at the bottom of my post ... it may give you guys enough hints about what the snake in question is .... I'll keep fussing around in the Malay search enginbe as I have time (Why does any search in any language for any reptile inevitably lead to a porn site?!)
Cheers
Wes

{Wes note ... notice 'neurotoxin' below and 'ular' Malay for snakes of all types ... also 'katam'}
. . . .
dan neurotoksin pada ular tedung, ular katam tebu dan ular pantai ….

{Wes note - leads you to a diagram and apparently some sub-species}
. . .
Keluarga Elapidae
3 jenis ular katam:
http://www.prn2.usm.my/mainsite/bulletin/1995/penawar5.html

phobos Apr 21, 2005 11:23 PM

Well guys this is what I was able to figure out:

Cobras = 2 jenis ular tedung: ular tedung hitam, ular tedung selar

Kraits= 3 jenis ular katam: ular katam tebu, ular katam belang, ular katam kepala merah

Sea Snakes= 4 jenis ular pantai/ular matahari: ular pantai biru, ular pantai belang, ular pantai bintik, ular pantai bintik kecil

Kraits=

ular katam kepala merah= Red Head Snake ? Red headed Krait

ular katam belang= Blue Striped snake ? Bungarus candidus

ular katam tebu= Sugar Cane Snake ? Bungarus fasciatus

We still don't know what the local snake term is though..

I figured out all of the vipers too...
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WW Apr 22, 2005 03:52 AM

According to Lim Boo Liat's "Poisonous Snakes of Peninsular Malaysia", the following names apply:

Naja kaouthia, Naja sumatrana: Ular Senduk

Ophiophagus hannah: Ular Tedung Selar

Bungarus fasciatus: Ular Katang Belang

Bungarus candidus: Ular Katang Tebu

Bungarus flaviceps: Ular Katang Kepala Merah

Calliophis gracilis: Ular Pantai Bintik

Calliophis maculiceps: Ular Pantai Bintik Kecil

Calliophis bivirgatus: Ular Pantai Biru Biru

Calliophis intestinalis: Ular Pantai Belang

The collective term for pitvipers is Ular Kapak - Calloselasma rhodostoma is Ular Kapak Bodoh, which translates roughly as "Stupid axe-headed snake"
Obviously, there will be multiple local names for many of these (as in chicken snake, red rat snake, etc...), and "ketam timah" is obviously one. The circumstances of the bite certainly have Bungarus (most likely candidus) written all over them.

There is an online Bahasa Malaysia-English dictionary at http://dictionary.bhanot.net/index.html

Ketam is translated as (1) crab (2) reap or harvest (3) plane (of wood)

Timah means tin.

Hard to make sense of.

The grandmother was presumably bitten by Naja kaouthia, which is common in NW Malaysia.

Cheers,

WW

Cheers,

Wolfgang
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phobos Apr 22, 2005 05:10 AM

Yikes! Wow, was I wrong. Thanks for correcting my error WW

Cheers!

Al
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Save a Rattlesnake...Skin a Sweetwater Resident!

WW Apr 22, 2005 08:57 AM

Only just re-checked the website Wes posted.

Actually, it appears that Ular katam = Ular katang. Since the rest of the names is the same, we can safely say that they both refer to kraits. I don't know what katam or katang means.

Just goes to show that common names are pi$$-useless in all languages...

Cheers,

Wolfgang
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