Natural Products -- Animals
The toxins that are produced by animals may produce a variety of reactions
and work by many mechanisms. NOTE that toxins that are directly introduced
through bites are often termed venoms.
Microbial Toxins -- The most well know toxin produced by bacteria is
the botulinum toxin of Clostridium botulinum. Persons are
most often affected by eating contaminated food. It causes a chemical
denervation by blocking the release of acetylcholine. This causes
muscle paralysis and death is most often due to paralysis of the respiratory
muscles.
Aquatic Species
Fish -- The most toxic substance found in fish is tetrodotoxin (its
neurotoxicity has been discussed previously, along with sejudotoxin).
It is a sodium channel blocking agent. Ingestion (from improperly
prepared sushi and other sources) will cause a tingling in the mouth.
This is followed within 10-45 min by muscle incoordination, salivation,
skin numbness, vomiting, diarrhœa, convulsions, and respiratory paralysis.
Treatment is supportive and symptomatic.
Blue-Ringed Octopus -- Found in the South Pacific and Indian Oceans,
also produces tetrodotoxin.
Crown of Thorns Starfish -- Indian and Pacific Oceans -- may cause fever,
vomiting, and paralysis.
Sea Urchins -- West Indies -- paralysis and death
Sea Cucumbers -- North American Coast -- blindness and death
Coneshell Snail -- The toxin (omega-conotoxin) is a calcium channel
blocker producing muscle relaxation and paralysis. It is injected
into the victim by a modified tooth that is fired from the proboscis of
the snail like a dart. It may cause human death.
Box Jellyfish -- This is the most toxic of the jellyfish, although the
entire family is poisonous to some extent. It injects a necrotising
neurotoxin by thousands of nematocycts that are present on the tentacles.
Stings from a box jellyfish are extremely painful and may result in death
within a few minutes if untreated. If the victim survives, the necrosis
may cause scarring that will be present for as long as 10 years following
exposure. First aid treatment is the application of a weak acid,
such as acetic acid in the form of vinegar, which neutralises the toxin.
Treatment with an anti-venin should follow as quickly as possible.
It is most active in the Australian spring and summer (October to May).
Insects and other invertebrates
Ants and other insects (wasps, bees) -- Ants will inject formic acid
as well as numerous other toxins and venoms, including apamin, melettin,
phospholipases, hyaluronidases, histamine, and serotonin. The initial
bite may be quite painful, due to the histamine and serotonin that is introduced
into the victim. However, the primary cause of concern from these
animals is for those victims that have developed sensitivity to the venoms
that is severe enough to cause anaphylactic shock. This is best treated
with epinephrine A.S.A.P., followed by parenteral anti-histaminics and
glucocorticoids along with supportive therapy.
Centipedes, millipedes, and caterpillars rarely, if ever, bite humans.
However, some may possess spikes or external toxins that produce reactions.
Similar to the Hymenoptera discussed above, death will generally
occur only if the person goes into anaphylactic shock.
Arachnids
Ticks -- Generally, ticks are most toxic by their role as a vector
for bacterial diseases such as Rocky Mountain Spotted Fever or Lyme Disease.
A second cause for concern is secondary bacterial infection arising from
the bite. However, one tick -- the paralysis tick of Australia --
does produce a neurotoxin that can cause paralysis in humans, evening causing
death in infants.
Spiders
Latrodectus spp. (Black Widow and Australian Redback Spiders)
-- Only the females possess fangs that are large and strong enough to penetrate
skin. Consequently, only the female is toxic to humans. In
the U.S.A. there are approximately 500 reported bites per year, with less
that 1% of these resulting in fatalities. The venom contains a neurotoxin
along with many other constituents. Signs and symptoms of envenomation
include muscle spasms near the bite within 30 minutes. These may
progress to involve back and abdominal muscles to cause severe muscle pain.
Other symptoms include nausea, salivation, and sweating. Treatment
is generally supportive and the antivenin is reserved for severe toxicity.
Loxosceles reclusa (Brown Recluse or Fiddle-back Spider) --
Only the female is toxic to humans. The venom contains a mixture
of toxins including hæmotoxins and neurotoxins. Signs and symptoms
of a bite include delayed pain (2-8 hr after envenomation). The patient
may experience hæmolysis, cyanosis, hæmoglobinuria, fever,
chills, weakness, nausea, vomiting, joint pain and delirium, although these
symptoms will not be exhibited by all victims. The more common reaction
includes vesiculation (blistering) at the site, redness, swelling, and
ulceration, which may progress to include destruction of tissue as deep
as the bone. This toxicity is chronic and progressive and can result
in loss of limb function, if severe. Acute treatment includes dexamethasone
(4 mg IM and 4 mg intradermal near the bite). Dapsone has been effective
in limiting the ulceration. Debridement to inhibit ulceration has
proven most effective, but must not be performed too soon, since additional
damage may occur.
Atrax robustus (Sydney Funnel Web) -- This Australian spider
is probably the most toxic spider, and also one of the most aggressive.
The toxin, atraxatoxin, is an N-type calcium channel antagonist and a neurostimulant.
Envenomation may cause tongue spasms, retching, diaphoresis, salivation,
dyspnœa, muscle fasciculations, hypertension, coma, and death within 15
min. The development of an antivenin in the early 1980s has led to
0 fatalities since 1984.
Scorpions (Centruroides spp. in the U.S.A.) -- C. sculpturatis
is a deadly scorpion approximately 2 3/4 inches long. The larger
(4 inch) vinegaroon is not deadly but may produce a painful sting, mediated
by the toxins formic acid, chlorine, and acetic acid. South American,
African, Middle Eastern, and Indian species may grow up to 7 inches in
length. In general, if the scorpion has thick, heavy pincers, the
sting is painful but not deadly. If, however, the pincers and slender
and weak, the scorpion is more likely to be lethal. The toxin contained
in the stinger of scorpions contains a mixture of substances. Initial
pain, which may be absent in children, will cause extreme sensitivity to
touch (hyperalgesia), restlessness, abnormal head and neck movements (chorea),
nystagmus, and increased startle reflex. This symptoms, which may
present in adults is much more common in children. Both children
and adults may exhibit tachycardia, hypertension, muscle fasciculations
(especially of facial and larger muscles), ataxia, slurred speech, salivation,
respiratory distress proceeding to paralysis, and convulsions. Treatment
is with anti-venin.
Amphibians -- Numerous toads and frogs possess poison glands that generally
contain cardiotoxins such as batrachatoxin and bufotoxins. Toads
and frogs also produce bufotenins and serotonin, which produce hallucinogenic
reactions. Refer to the section on Cardiovascular Toxicity for a
further discussion of these toxins.
Reptiles
Snakes
Generally, snake toxins may be classified as
myotoxins -- generally necrotising, causing tissue destruction of not
only muscle but other tissues
neurotoxins -- which may cause CNS depression or occasionally stimulation
hæmotoxins -- which may cause hæmolysis OR thrombosis
Many snake venoms will contain a mixture of these toxins, so that a combination
of symptoms will present following envenomation. The "danger" rating
of a snake is determined by the strength of its toxin (and the length of
fangs), the temperament of the particular snake, and its exposure to humans.
Families of Snakes
Crotalids -- Including Agkistrodon (copperhead and cotton mouth
or water moccasin), Crotalus (rattlesnakes) and Sistrurus
(pygmy rattlesnake) spp.
Envenomation will present as swelling, œdema, and pain within 10 min.
This is generally followed by ecchymoses/hæmorrhaging, weakness,
fainting, nausea, lymphadenopathy, and numbness of tongue, mouth, and scalp.
Death is generally due to respiratory paralysis or convulsions. Treatment
is anti-venin and supportive as needed.
Elapids -- There is only one elapid species found in the Southeastern part
of the U.S.A., the Eastern Coral Snake (Micrurus -- which resembles
the King snake, giving rise to the warning red and yellow can kill a fellow,
since the King snake exhibits red and yellow markings separated by black
stripes).
Envenomation presents as pain. Onset of swelling is much slower
than with the crotalids. The patient then presents with drowsiness,
weakness, salivation, paralysis of facial muscles, lips, tongue, and larynx;
hypotension, respiratory difficulty, blurred vision, and headache.
Death is usually due to convulsions. Treatment is anti-venin and
supportive.
Viperids -- Not found in the U.S.A. Bites produce local pain, swelling
(especially above the knees and elbows), oedema, skin discolouration, ecchymoses,
and bleeding from the wound and the gums.
European Snakes -- Primarily vipers such as adders and asps.
The blunt-nosed viper can kill a camel.
Indian Snakes -- Indian has 230 species of snakes with 50 of them venomous
including Russel's viper, the saw-sealed viper, common krait, and the common
cobra. Human bites from the King Cobra are rare, but the venom may
kill an elephant.
Southeast Asian Snakes -- Similar to Indian snakes, with the addition
of the Malayan Pit Viper.
Sub-Saharan African Snakes
Colubrids -- The boomslang and birdsnakes are arboreal. Bites initially
cause clotting and then internal haemorrhage, often after the patient appears
to have recovered.
Elapids -- The "spitters" include black and green mambas, the Cape cobra,
and Ringhals snake. These produce neurotoxins.
Vipers -- puff adder and bush viper.
Central and South American Snakes -- Predominantly vipers, including
the palm pit viper, and various coral snakes (elapids).
Australian Snakes -- Primarily elapids (with the exception of the Sea
snake). Including the sea snake, which is found off the Australian
shore, the top 10 venomous snakes are found in Australia.
Sea Snake -- Normally docile. When it strikes, it may control
the amount of venom injected into the victim. Bites may cause rapid
paralysis and death.
Death Adder -- Myo- and neuro-toxins, death is usually due to respiratory
failure.
Brown Snake (Eastern and Western) -- This snake is extremely fast and
extremely aggressive. Its venom is a neurotoxin.
Fierce Snake (Inland Taipan) -- Its venom is the most toxic of any
snake (on a concentration basis). However, it only bites once and
is found only in areas that are very sparsely settled.
Taipan -- Regarded as the most dangerous snake of Australia, it is
the most aggressive, striking and biting repeatedly. It also resides
near heavily populated urban areas. Its venom is primarily a hæmotoxin.
Tiger Snake -- More human bites are reported from this snake than any
other in Australia. It possesses a hæmo- and neuro-toxin and
also resides in urban areas.
Sea Snakes -- Envenomation causes skeletal muscle pain (especially with
movement), paraesthesias, ptosis, and myoglobinuria.
LD50s of various snakes (mg/Kg ip/iv in mice)
| Region |
Snake |
LD50 |
| North America |
|
|
|
Eastern Diamond Back Rattler |
1.68 |
|
Western Diamondback |
3.71 |
|
Cottonmouth |
4.00 |
|
Copperhead |
10.5 |
|
Eastern Coral |
0.97 |
| Asia |
|
|
|
Asian cobra |
0.4 |
|
Indian krait |
0.09 |
|
Russel's viper |
0.08 |
|
Malayan pit viper |
6.2 |
| Africa |
|
|
|
Puff adder |
3.68 |
|
Eastern green mamba |
0.45 |
| Australia |
|
|
|
Tiger snake |
0.04 |
|
Inland taipan |
0.009 |
| Sea |
Beaked Sea Snake |
0.01 |
Lizards -- Gila Monster
This lizard of the American Southwest has a venom composed of serotonin,
phospholipase, and hyaluronidase. It causes little tissue breakdown,
but may cause hypotension, reflex tachycardia and respiratory distress.
Death, occurring in approximately 1% of bites, is generally due to decreased
ventricular contractility.
Mammals -- There are only three families of truly venomous mammals.
Monotremes -- Duck-billed platypus and Echidna -- The males of these
egg-laying mammals of Australia possess a spur on the inner aspect
of the hind leg. This is connected to a venom gland in the groin
of the animal. Stinging by the spur causes the venom gland to be
emptied. The victim experiences pain and swelling, which may re-appear
following apparent recovery. No human deaths have been reported,
although several canine deaths have occurred.
Shrews and Solenodons -- These animals of the Caribbean resemble rats
but have cat or dog-like teeth. Their saliva provides the toxic response
observed following envenomation.
Hedgehogs -- The quills of these animals may exert a toxic effect.
The toxin may be saliva of the animal, which it licks onto the quills.
Some species are also known to collect toad venom and coat their quills
with it.
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