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'''''Gloydius blomhoffii''''', commonly known as the '''mamushi''',<ref name="Meh87">Mehrtens JM. 1987. ''Living Snakes of the World in Color''. New York: Sterling Publishers. 480 pp. ISBN 0-8069-6460-X.</ref> or '''Japanese mamushi''',<ref name="Gum04">Gumprecht A, Tillack F, Orlov NL, [[Ashok Captain|Captain A]], Ryabov S. 2004. ''Asian Pitvipers''. Geitje Books: Berlin. 1st Edition. 368 pp. ISBN 3-937975-00-4.</ref> is a [[venomous snake|venomous]] [[Crotalinae|pitviper]] [[species]] found in [[China]], [[Japan]], and [[Korea]]. There are four [[subspecies]] including the [[nominate subspecies]] described here.<ref name="ITIS">{{ITIS |id=634884 |taxon=Gloydius blomhoffii |accessdate=19 May 2007}}</ref>
'''''Gloydius blomhoffii''''', commonly known as the '''mamushi''',<ref name="Meh87">Mehrtens JM. 1987. ''Living Snakes of the World in Color''. New York: Sterling Publishers. 480 pp. ISBN 0-8069-6460-X.</ref> or '''Japanese mamushi''',<ref name="Gum04">Gumprecht A, Tillack F, Orlov NL, [[Ashok Captain|Captain A]], Ryabov S. 2004. ''Asian Pitvipers''. Geitje Books: Berlin. 1st Edition. 368 pp. ISBN 3-937975-00-4.</ref> is a [[venomous snake|venomous]] [[Crotalinae|pitviper]] [[species]] found in [[China]], [[Japan]], and [[Korea]]. There are four [[subspecies]] including the [[nominate subspecies]] described here.<ref name="ITIS">{{ITIS |id=634884 |taxon=Gloydius blomhoffii |accessdate=19 May 2007}}</ref>


This species and the [[Trimeresurus flavoviridis|Okinawan habu]] are the most venomous snakes in Japan.<ref name=yoshi>Yoshimitsu M, 2005. Animal and Snake Bites, ''Japanese Journal of Pediatric Surgery'' (journal code Z0323B), ISSN: 0385-6313, '''37'''(2):207–215. (Japanese)</ref> Every year, 2000–3000 people in Japan are bitten by mamushi. Bite victims typically require one week of treatment in hospital. Severe bites require intensive care, and approximately 10 victims die annually.<ref name=okamoto>Okamoto O, Oishi M, Hatano Y, Kai Y, Goto M, Kato A, Shimizu F, Katagiri K, Fujiwara S. 2009. Severity factors of Mamushi (''Agkistrodon blomhoffii'') bite. ''J Dermatol.'' '''36'''(5):277–283.</ref><ref name=shigeta/>
This species and the [[Trimeresurus flavoviridis|Okinawan habu]] are the most venomous snakes in Japan.<ref name=yoshi>{{cite journal |last1=Yoshimitsu |first1=M |year=2005 |title=Animal and Snake Bites |journal=Japanese Journal of Pediatric Surgery |issn=0385-6313 |volume=37 |issue=2 |pages=207–15 |language=Japanese}}</ref> Every year, 2000–3000 people in Japan are bitten by mamushi. Bite victims typically require one week of treatment in hospital. Severe bites require intensive care, and approximately 10 victims die annually.<ref name=okamoto>{{cite journal |doi=10.1111/j.1346-8138.2009.00638.x}}</ref><ref name=shigeta/>


==Etymology==
==Etymology==
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==Geographic range==
==Geographic range==
It is found in [[China]], [[Japan]], and [[Korea]]. It is the most common snake in Japan.<ref name=ameno1990>Ameno S, Ameno K, Fuke C, Kiryu T, Ijiri I. 1990. IgG subclass distributions of anti-horse serum antibodies and natural venom-antibodies produced in response to antivenom injection or snake bite in humans. ''Toxicon.'' '''28'''(3):347–50. {{doi|10.1016/0041-0101(90)90070-N}}. PMID 2343468</ref> According to [[Howard K. Gloyd|Gloyd]] and [[Roger Conant (herpetologist)|Conant]] (1990), there is no evidence to support claims that this species occurs in the [[Ryukyu Islands]]. The [[Type locality (biology)|type locality]] given is "Japan".<ref name="McD99"/>
It is found in [[China]], [[Japan]], and [[Korea]]. It is the most common snake in Japan.<ref name=ameno1990>{{cite journal |doi=10.1016/0041-0101(90)90070-N}}</ref> According to [[Howard K. Gloyd|Gloyd]] and [[Roger Conant (herpetologist)|Conant]] (1990), there is no evidence to support claims that this species occurs in the [[Ryukyu Islands]]. The [[Type locality (biology)|type locality]] given is "Japan".<ref name="McD99"/>


==Habitat==
==Habitat==
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==Venom==
==Venom==
===Characteristics===
===Characteristics===
The venom of this species varies very little among Japan, China, and Korea in terms of both its potency and its effects.<ref name=fukuda2006>Fukuda T, Iwaki M, Hong SH, Oh HJ, Wei Z, Morokuma K, Ohkuma K, Dianliang L, Arakawa Y, Takahashi M. 2006. Standardization of Regional Reference for Mamushi (''Gloydius blomhoffii'') in Japan, Korea, and China. ''Jpn J Infect Dis'', '''59''':20-24. (in English) [http://www.nih.go.jp/JJID/59/20.pdf PDF] at the [http://www.nih.go.jp/ Japanese Ministry of Health, Labour, and Welfare]. Accessed 26 July 2010.</ref> According to Yoshimitsu (2005), this species and the [[Okinawan habu]], another pitviper, are the most venomous snakes in Japan.<ref name=yoshi/> The venom's lethality as measured by [[median lethal dose|LD<sub>50</sub>]] in mice following [[intraperitoneal injection]] is in the range 0.3&nbsp;mg/kg<ref name=hung>Hung YC, Sava V, Hong MY, Huang GS. 2004. Inhibitory effects on phospholipase A2 and antivenin activity of melanin extracted from ''Thea sinensis'' Linn. ''Life Sci.'' Mar 5; '''74'''(16):2037–2047</ref> to 1.22&nbsp;mg/kg.<ref name=igari>Igari R, Iseki K, Abe S, Syoji M, Sato M, Shimomura K, Hayashida A, Sugiura A, Iwashita Y, Midorikawa S. 2010. Binocular diplopia and ptosis due to snakebite (''Agkistrodon blomhoffi'' "mamushi")—a case report. ''Brain Nerve''. Mar;'''62'''(3):273–277.</ref> The venom mostly contains [[hemolysis|haemolytic]] toxins, but it also has two [[neurotoxin]]s—an alpha-toxin that is a post-synaptic inhibitor and a beta-toxin that is a pre-synaptic inhibitor.<ref name=igari/> Because the beta-toxin acts pre-synaptically, its effects cannot be blocked or treated by anticholinesterases.<ref name=igari/> The venom contains an [[anticoagulant]], mamushi [[L-amino-acid oxidase]] (M-LAO).<ref name=sakurai2003>Sakurai Y, Shima M, Matsumoto T, Takatsuka H, Nishiya K, Kasuda S, Fujimura Y, Yoshioka A. 2003. ''Biochimica et Biophysica Acta. Proteins and proteomics'', '''1649'''(1):51–57. ISSN 1570-9639.</ref> It also contains the peptide [[ablomin]] which is highly similar in amino acid sequence to that of the venom, [[helothermine]], of the [[beaded lizard]] (''Heloderma horridum'').<ref name=yamazaki>Yamazaki Y, Koike H, Sugiyama Y, Motoyoshi K, Wada T, Hishinuma S, Mita M, Morita T. 2002. Cloning and characterization of novel snake venom proteins that block smooth muscle contraction. ''Eur J Biochem'', '''269'''(11):2708–2715.</ref>
The venom of this species varies very little among Japan, China, and Korea in terms of both its potency and its effects.<ref name=fukuda2006>{{cite journal |first1=Tadashi |last1=Fukuda |first2=Masaaki |last2=Iwaki |first3=Seung Hwa |last3=Hong |first4=Ho Jung |last4=Oh |first5=Zhu |last5=Wei |first6=Kazunori |last6=Morokuma |first7=Kunio |last7=Ohkuma |first8=Lei |last8=Dianliang |first9=Yoshichika |last9=Arakawa |first10=Motohide |last10=Takahashi |title=Standardization of Regional Reference for Mamushi (''Gloydius blomhoffii'') Antivenom in Japan, Korea, and China |journal=Japanese Journal of Infectious Diseases |pmid=16495629 |url=http://www0.nih.go.jp/JJID/59/20.html}}</ref> According to Yoshimitsu (2005), this species and the [[Okinawan habu]], another pitviper, are the most venomous snakes in Japan.<ref name=yoshi/> The venom's lethality as measured by [[median lethal dose|LD<sub>50</sub>]] in mice following [[intraperitoneal injection]] is in the range 0.3&nbsp;mg/kg<ref name=hung>{{cite journal |doi=10.1016/j.lfs.2003.09.048}}</ref> to 1.22&nbsp;mg/kg.<ref name=igari>{{cite journal |pmid=20297733 |title=症例報告 マムシ咬傷により複視・眼瞼下垂をきたした1例 |trans_title=Binocular diplopia and ptosis due to snakebite (Agkistrodon blomhoffi "mamushi")--a case report |language=Japanese |url=http://medicalfinder.jp/ejournal/openUrl.do?issn=18816096&genre=article&volume=62&issue=3&spage=273 |year=2010 |last1=Igari |first1=R |last2=Iseki |first2=K |last3=Abe |first3=S |last4=Syoji |first4=M |last5=Sato |first5=M |last6=Shimomura |first6=K |last7=Hayashida |first7=A |last8=Sugiura |first8=A |last9=Iwashita |first9=Y |last10=Midorikawa |first10=S |volume=62 |issue=3 |pages=273–7 |journal=Brain and Nerve}}</ref> The venom mostly contains [[hemolysis|haemolytic]] toxins, but it also has two [[neurotoxin]]s—an alpha-toxin that is a post-synaptic inhibitor and a beta-toxin that is a pre-synaptic inhibitor.<ref name=igari/> Because the beta-toxin acts pre-synaptically, its effects cannot be blocked or treated by anticholinesterases.<ref name=igari/> The venom contains an [[anticoagulant]], mamushi [[L-amino-acid oxidase]] (M-LAO).<ref name=sakurai2003>{{cite journal |doi=10.1016/S1570-9639(03)00157-2}}</ref> It also contains the peptide [[ablomin]] which is highly similar in amino acid sequence to that of the venom, [[helothermine]], of the [[beaded lizard]] (''Heloderma horridum'').<ref name=yamazaki>{{cite journal |doi=10.1046/j.1432-1033.2002.02940.x}}</ref>


===Treatments for envenomations===
===Treatments for envenomations===
There is an effective antivenom manufactured in both Japan and China.<ref name=fukuda2006/> Its effectiveness is increased when co-administered with a [[serine protease inhibitor]] such as [[FOY]] (see, e.g. [[Camostat]]).<ref name="watanabe">Watanabe H, Nagatake T, Matsumoto K, Sakamoto T, Rikitomi N, Hirano E. 1992. Effectiveness of protease inhibition in severe mamushi bite. ''Procs. XXXIV Annual Meetings of Japan Society of Tropical Medicine'', 25–26 Nov 1992, Nagasaki, p.75. [http://www.tm.nagasaki-u.ac.jp/society/jstm/tmh/backnumber/pdf/21-1.pdf Preprint]. Also published by same authors as ''Jpn J Trop Med Hyg'', '''21'''(1):39–92, 1993.</ref> In common with many other venomous snakes, the mamushi is highly resistant to its own venom because of various neutralising factors present in its sera including [[phospholipase A2]] (PLA<sub>2</sub>) inhibitors; these and other inhibitors are the target of antivenom development.<ref name=motou2003>Motou K, Yoshida A, Hattori S, Ohno M. 2003. A trial of muscle necrosis prevention by ''T. flavoviridis'' venom. ''Kagoshima University Journal of Medicine''. '''23''':15–24.</ref>
There is an effective antivenom manufactured in both Japan and China.<ref name=fukuda2006/> Its effectiveness is increased when co-administered with a [[serine protease inhibitor]] such as [[FOY]] (see, e.g. [[Camostat]]).<ref name="watanabe">Watanabe H, Nagatake T, Matsumoto K, Sakamoto T, Rikitomi N, Hirano E. 1992. Effectiveness of protease inhibition in severe mamushi bite. ''Procs. XXXIV Annual Meetings of Japan Society of Tropical Medicine'', 25–26 Nov 1992, Nagasaki, p.75. [http://www.tm.nagasaki-u.ac.jp/society/jstm/tmh/backnumber/pdf/21-1.pdf Preprint]. Also published by same authors as ''Jpn J Trop Med Hyg'', '''21'''(1):39–92, 1993.</ref> In common with many other venomous snakes, the mamushi is highly resistant to its own venom because of various neutralising factors present in its sera including [[phospholipase A2]] (PLA<sub>2</sub>) inhibitors; these and other inhibitors are the target of antivenom development.<ref name=motou2003>Motou K, Yoshida A, Hattori S, Ohno M. 2003. A trial of muscle necrosis prevention by ''T. flavoviridis'' venom. ''Kagoshima University Journal of Medicine''. '''23''':15–24.</ref>


Every year, 2000-3000 people in Japan are bitten by mamushi, severe bites require intensive care, and approximately 10 victims die.<ref name=okamoto/> There have been case reports of renal failure,<ref name=otsuji>Otsuji Y, Irie Y, Ueda H, Yotsueda K, Kitahara T, Yokoyama K, Higashi Y. 1978. A case of acute renal failure caused by Mamushi (''Agkistrodon halys'') bite. ''Medical J Kagoshima Univ'' (in Japanese) '''30''':129–135.</ref> visual disturbances,<ref name=takeshita2003>Takeshita T, Yamada K, Hanada M, Oda-Ueda N. 2003. Case report: Extraocular muscle paresis caused by snakebite. ''Kobe J Med Sci.'' '''49'''(1-2):11–15.</ref> [[:wikt:palsy|palsy]], and miscarriage in pregnant women.<ref name=nasu>Nasu K, Ueda T, Miyakawa I. 2004. Intrauterine Fetal Death Caused by Pit Viper Venom Poisoning in Early Pregnancy. ''Gynecol Obstet Invest''. '''57''':114–116. {{doi|10.1159/000075676}}</ref>
Every year, 2000-3000 people in Japan are bitten by mamushi, severe bites require intensive care, and approximately 10 victims die.<ref name=okamoto/> There have been case reports of renal failure,<ref name=otsuji>Otsuji Y, Irie Y, Ueda H, Yotsueda K, Kitahara T, Yokoyama K, Higashi Y. 1978. A case of acute renal failure caused by Mamushi (''Agkistrodon halys'') bite. ''Medical J Kagoshima Univ'' (in Japanese) '''30''':129–135.</ref> visual disturbances,<ref name=takeshita2003>{{cite journal |pmid=12698017}}</ref> [[:wikt:palsy|palsy]], and miscarriage in pregnant women.<ref name=nasu>{{cite journal |doi=10.1159/000075676}}</ref>


In one study in Japan, mamushi bite victims required a median duration of 7&nbsp;days of treatment in hospital followed by a median of 31&nbsp;days of out-patient treatment, and the time to achieve a full recovery was even longer, taking up to several months.<ref name=shigeta>Shigeta M, Kuga T, Kudo J, Yamashita A, Fujii Y. 2007. Clinical study of mamushi viper bites in 35 cases. ''Journal of the Japanese Association of Rural Medicine'', ISSN 0468-2513, '''56'''(2):61–67</ref> The treatment protocol involved incision of the wound for exclusion of the venom, and injection of mamushi antivenom.<ref name=shigeta/>
In one study in Japan, mamushi bite victims required a median duration of 7&nbsp;days of treatment in hospital followed by a median of 31&nbsp;days of out-patient treatment, and the time to achieve a full recovery was even longer, taking up to several months.<ref name=shigeta>{{cite journal |doi=10.2185/jjrm.56.61}}</ref> The treatment protocol involved incision of the wound for exclusion of the venom, and injection of mamushi antivenom.<ref name=shigeta/>


==Subspecies==
==Subspecies==
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!bgcolor="#f0f0f0"|Subspecies<ref name="ITIS"/>
!bgcolor="#f0f0f0"|Subspecies<ref name="ITIS"/>
!bgcolor="#f0f0f0"|Taxon author<ref name="ITIS"/>
!bgcolor="#f0f0f0"|Taxon author<ref name="ITIS"/>
!bgcolor="#f0f0f0"|Common name<ref name="G&C90">[[Howard K. Gloyd|Gloyd HK]], [[Roger Conant (herpetologist)|Conant R]]. 1990. ''Snakes of the'' Agkistrodon ''Complex: A Monographic Review''. Society for the Study of Amphibians and Reptiles. 614 pp. 52 plates. LCCN 89-50342. ISBN 0-916984-20-6.</ref>
!bgcolor="#f0f0f0"|Common name<ref name="G&C90">[[Howard K. Gloyd|Gloyd HK]], [[Roger Conant (herpetologist)|Conant R]]. 1990. ''Snakes of the'' Agkistrodon ''Complex: A Monographic Review''. Society for the Study of Amphibians and Reptiles. 614 pp. 52 plates. LCCN 89-50342. ISBN 0-916984-20-6.{{pn}}</ref>
!bgcolor="#f0f0f0"|Geographic range<ref name="Meh87"/>
!bgcolor="#f0f0f0"|Geographic range<ref name="Meh87"/>
|-
|-

Revision as of 23:25, 5 September 2013

Gloydius blomhoffii
Scientific classification
Kingdom:
Phylum:
Subphylum:
Class:
Order:
Suborder:
Family:
Subfamily:
Genus:
Species:
G. blomhoffii
Binomial name
Gloydius blomhoffii
(H. Boie, 1826)
Synonyms
  • Trigonocephalus Blomhoffii
    H. Boie, 1826
  • Trigonocephalus [(Halys)] affinis Gray, 1849
  • Trigonocephalus [(Halys)] Blomhoffii – Gray, 1849
  • T[rigonocephalus]. Blomhoffii var. megaspilus Cope, 1860
  • Halys blomhoffii W. Peters, 1862
  • T[rigonocephalus]. blomhoffii
    Jan, 1963
  • Ancistrodon blomhoffii
    Boulenger, 1896
  • Agkistrodon blomhoffii ? affinis
    Stejneger, 1907
  • Ancistrodon halys blomhoffii
    Nikolsky, 1916
  • Agkistrodon blomhoffii blomhoffii
    Sternfeld, 1916
  • A[ncistrodon]. blomhoffii blomhoffii
    F. Werner, 1922
  • Agkistrodon blomhoffii affinis
    – F. Werner, 1922
  • Ankistrodon halys blomhoffii
    – Pavloff, 1926
  • Agkistrodon halys blomhoffii
    – Mell, 1929
  • Agkistrodon halys affinis – Mell, 1929
  • Gloydius blomhoffii blomhoffii
    Hoge & Romano-Hoge, 1981
  • Agkistrodon affinis
    Gloyd & Conant, 1990[1]

Gloydius blomhoffii, commonly known as the mamushi,[2] or Japanese mamushi,[3] is a venomous pitviper species found in China, Japan, and Korea. There are four subspecies including the nominate subspecies described here.[4]

This species and the Okinawan habu are the most venomous snakes in Japan.[5] Every year, 2000–3000 people in Japan are bitten by mamushi. Bite victims typically require one week of treatment in hospital. Severe bites require intensive care, and approximately 10 victims die annually.[6][7]

Etymology

The specific name, blomhoffii, is in honor of Jan Cock Blomhoff, who was director of the Dutch trading colony in Nagasaki, Japan from 1817 to 1824.

Description

The average total length of mature individuals is 45–81 cm (17¾-31⅞ inches); the longest specimen ever recorded had a total length of 91 cm (36 in).[2]

The body pattern consists of a pale gray, reddish-brown, or yellow-brown background, overlaid with a series of irregularly-shaped lateral blotches. These blotches are bordered with black and often have lighter centers. The head is dark brown or black, with beige or pale-gray sides.[2]

Common names

The common name in English is mamushi,[2] or Japanese mamushi.[3] The common name in Japanese is mamushi (マムシ). In Korea, it is known as 살무사 (salmusa).

Geographic range

It is found in China, Japan, and Korea. It is the most common snake in Japan.[8] According to Gloyd and Conant (1990), there is no evidence to support claims that this species occurs in the Ryukyu Islands. The type locality given is "Japan".[1]

Habitat

It occurs in a range of habitats, including swamps, marshes, meadows, open woodland, rocky hillsides, and montane rock outcroppings.[2]

Diet

A mamushi lurking in a bush a little above ground-level, waiting to ambush passing prey

It is typically an ambush predator that uses its excellent camouflage to hide itself in vegetation or leaf litter. It hunts and eats mainly rodents, but also small birds, lizards, and insects. It is often found in and around farmland due to the associated rodent populations.[2]

Venom

Characteristics

The venom of this species varies very little among Japan, China, and Korea in terms of both its potency and its effects.[9] According to Yoshimitsu (2005), this species and the Okinawan habu, another pitviper, are the most venomous snakes in Japan.[5] The venom's lethality as measured by LD50 in mice following intraperitoneal injection is in the range 0.3 mg/kg[10] to 1.22 mg/kg.[11] The venom mostly contains haemolytic toxins, but it also has two neurotoxins—an alpha-toxin that is a post-synaptic inhibitor and a beta-toxin that is a pre-synaptic inhibitor.[11] Because the beta-toxin acts pre-synaptically, its effects cannot be blocked or treated by anticholinesterases.[11] The venom contains an anticoagulant, mamushi L-amino-acid oxidase (M-LAO).[12] It also contains the peptide ablomin which is highly similar in amino acid sequence to that of the venom, helothermine, of the beaded lizard (Heloderma horridum).[13]

Treatments for envenomations

There is an effective antivenom manufactured in both Japan and China.[9] Its effectiveness is increased when co-administered with a serine protease inhibitor such as FOY (see, e.g. Camostat).[14] In common with many other venomous snakes, the mamushi is highly resistant to its own venom because of various neutralising factors present in its sera including phospholipase A2 (PLA2) inhibitors; these and other inhibitors are the target of antivenom development.[15]

Every year, 2000-3000 people in Japan are bitten by mamushi, severe bites require intensive care, and approximately 10 victims die.[6] There have been case reports of renal failure,[16] visual disturbances,[17] palsy, and miscarriage in pregnant women.[18]

In one study in Japan, mamushi bite victims required a median duration of 7 days of treatment in hospital followed by a median of 31 days of out-patient treatment, and the time to achieve a full recovery was even longer, taking up to several months.[7] The treatment protocol involved incision of the wound for exclusion of the venom, and injection of mamushi antivenom.[7]

Subspecies

Subspecies[4] Taxon author[4] Common name[19] Geographic range[2]
G. b. blomhoffii (H. Boie, 1826) Japanese mamushi Japan, including most of the smaller islands.
G. b. brevicaudus (Stejneger, 1907) Short-tailed mamushi Northeast China and the Korean Peninsula.
G. b. dubitatus (Gloyd, 1977) Tung Ling mamushi Restricted to Hebei Province, China.
G. b. siniticus (Gloyd, 1977) Yangtze mamushi Type locality: China, from Shandong, Jiang Su and Anhui provinces, south to the Ch'ang Chiang Basin and eastern Sichuan, Jiangxi and Hunan.

Taxonomy

There are five subspecies—the four mentioned in the table above, plus A. b. ussuriensis, which is found in Russia.[19] However, the fifth subspecies has also been described as a species: Gloydius ussuriensis.[1][2]

This species is similar to the cottonmouths and copperheads (Agkistrodon sp.) of the Americas, and it was long considered part of the same group (see synonymy).[1]

See also

References

  1. ^ a b c d McDiarmid RW, Campbell JA, Touré T. 1999. Snake Species of the World: A Taxonomic and Geographic Reference, vol. 1. Herpetologists' League. 511 pp. ISBN 1-893777-00-6 (series). ISBN 1-893777-01-4 (volume).
  2. ^ a b c d e f g h Mehrtens JM. 1987. Living Snakes of the World in Color. New York: Sterling Publishers. 480 pp. ISBN 0-8069-6460-X.
  3. ^ a b Gumprecht A, Tillack F, Orlov NL, Captain A, Ryabov S. 2004. Asian Pitvipers. Geitje Books: Berlin. 1st Edition. 368 pp. ISBN 3-937975-00-4.
  4. ^ a b c "Gloydius blomhoffii". Integrated Taxonomic Information System. Retrieved 19 May 2007.
  5. ^ a b Yoshimitsu, M (2005). "Animal and Snake Bites". Japanese Journal of Pediatric Surgery (in Japanese). 37 (2): 207–15. ISSN 0385-6313.
  6. ^ a b . doi:10.1111/j.1346-8138.2009.00638.x. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  7. ^ a b c . doi:10.2185/jjrm.56.61. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  8. ^ . doi:10.1016/0041-0101(90)90070-N. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  9. ^ a b Fukuda, Tadashi; Iwaki, Masaaki; Hong, Seung Hwa; Oh, Ho Jung; Wei, Zhu; Morokuma, Kazunori; Ohkuma, Kunio; Dianliang, Lei; Arakawa, Yoshichika; Takahashi, Motohide. "Standardization of Regional Reference for Mamushi (Gloydius blomhoffii) Antivenom in Japan, Korea, and China". Japanese Journal of Infectious Diseases. PMID 16495629.
  10. ^ . doi:10.1016/j.lfs.2003.09.048. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  11. ^ a b c Igari, R; Iseki, K; Abe, S; Syoji, M; Sato, M; Shimomura, K; Hayashida, A; Sugiura, A; Iwashita, Y; Midorikawa, S (2010). "症例報告 マムシ咬傷により複視・眼瞼下垂をきたした1例". Brain and Nerve (in Japanese). 62 (3): 273–7. PMID 20297733. {{cite journal}}: Unknown parameter |trans_title= ignored (|trans-title= suggested) (help)
  12. ^ . doi:10.1016/S1570-9639(03)00157-2. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  13. ^ . doi:10.1046/j.1432-1033.2002.02940.x. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  14. ^ Watanabe H, Nagatake T, Matsumoto K, Sakamoto T, Rikitomi N, Hirano E. 1992. Effectiveness of protease inhibition in severe mamushi bite. Procs. XXXIV Annual Meetings of Japan Society of Tropical Medicine, 25–26 Nov 1992, Nagasaki, p.75. Preprint. Also published by same authors as Jpn J Trop Med Hyg, 21(1):39–92, 1993.
  15. ^ Motou K, Yoshida A, Hattori S, Ohno M. 2003. A trial of muscle necrosis prevention by T. flavoviridis venom. Kagoshima University Journal of Medicine. 23:15–24.
  16. ^ Otsuji Y, Irie Y, Ueda H, Yotsueda K, Kitahara T, Yokoyama K, Higashi Y. 1978. A case of acute renal failure caused by Mamushi (Agkistrodon halys) bite. Medical J Kagoshima Univ (in Japanese) 30:129–135.
  17. ^ . PMID 12698017. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  18. ^ . doi:10.1159/000075676. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  19. ^ a b Gloyd HK, Conant R. 1990. Snakes of the Agkistrodon Complex: A Monographic Review. Society for the Study of Amphibians and Reptiles. 614 pp. 52 plates. LCCN 89-50342. ISBN 0-916984-20-6.[page needed]

Further reading

  • Boie, H. 1826. Merkmale eineger japanischer Lurche. Isis von Oken 19: 203-216. (Trigonocephalus blomhoffii, pp. 214-215.)